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DPM Central Station Operator`s Manual

1. 0 031x PAO PvO C O calc L min Calculated Cardiac Output VO2 CaO CvO C 12 DPM Central Station Operator s Manual P N 046 005011 00 3 0
2. In this tab sheet you can turn on or off the following options 12 12 Shutdown Requires Password If this option is turned on you need to input a password before shutting down the system Change Language Change User Password Change Time DPM Central Station Operator s Manual Change Hospital Name Database Backup and Recovery Gateway Communication Setting Communication Settings Remote Control Setting 12 2 8 1 Change Language The central station has multiple languages available from which you can choose any one as required When the central station starts the default language 1s the language selected at time of installation 1 Click the Change Language button The dialog box will be displayed 2 Click the down arrow button to view a list of available languages 3 Select the desired language It is recommended to select the ones registered at time of installation and supported by the operating system 4 Click the OK button 5 Ifthe language you have selected is not supported by the operating system a message will be displayed You can follow it NOTE If the language you selected is inconsistent with that of the operating system unrecognizable characters may occur at the central station If this occurs change the operating system language and region settings by following the operating system operator s manual 12 2 8 2 Change User Password i Zz Click the Change User Passwo
3. parameter area If the parameter area is displayed clicking the Hide Numerics button will hide the parameter area Parameter area shows all current parameter values For parameters having high level alarms they are highlighted in red and is shown in front of the parameter values For parameters having medium level alarms they are highlighted in yellow and 88 is shown in front of the parameter values For parameters having low level alarms they are highlighted in yellow and is shown in front of the parameter values For parameters having message they are shown with black as the background color but no indication by before parameter values For the parameters from integrated devices they are shown in white and indicated with before the parameter name E Waveform Time Display Area In this area waveform start time and end time are respectively shown at leftmost and rightmost the current cursor time is shown in the middle By clicking the Refresh button you can update the end time to current system time and the start time changes accordingly E Button Area Refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Operation for additional information about button function DPM Central Station Operator s Manual 9 11 Full Size Waveform Operation In the full size waveform review window you can mM Select waveforms to be saved Select w
4. E Refresh Sorting Discharged Patients You can sort all discharged patients ascendingly or descendingly by clicking the heading of any column At the same time one of the following symbols will appear to the left of the heading m for ascending sequence and m for descending sequence By default all discharged patients are sorted ascendingly by name Searching Discharged Patients 1 Click the button at the left of the All patients tab sheet and the All patients tab sheet will show an area for inputting search conditions at its left 2 Input search conditions e g Name and Patient ID You can click the More Options to input more search conditions 3 Click the Search button The system will search and display the discharged patients that meet the search conditions DPM Central Station Operator s Manual 9 23 Deleting Discharged Patients 1 Inthe Delete column select the check box corresponding to the patient that you want to delete 2 Click the Delete button 3 Select Yes from the pop up dialog box Refreshing Data Clicking the Refresh button will update the discharged patient list NOTE e Only after selecting a discharged patient from the All patients tab sheet can you switch to other tab sheets for review o Ifa patient is allowed to be viewed by remote CMS during monitoring his physiological data can be viewed in the D
5. Patient Mgmt tab sheet In this case you need to confirm whether to use the patient information in the central station or monitor 5 5 Discharging a Patient Discharging a patient stops monitoring a patient and allows you to admit a new patient There are two ways to discharge a patient NW Discharge a patient through the monitor In this case the patient will also be discharged by the central station and all the patient s data will be saved by the central station NW Discharge a patient through the central station In this case the patient will also be discharged by the monitor For telemetry patient monitoring discharging a patient can only be performed through the central station If you discharge a patient through the monitor refer to the monitor s operator s manual If you discharge a patient through the central station you can follow either of the two procedures NW Procedure 1 applied to spot patients 1 Click the drop down menu in corresponding patient window and select Discharge Patient 2 In the pop up dialog box select either Discharge patient and save data or select Discharge Without Saving Data If Discharge patient and save data is selected the system will automatically save all monitored data for this patient If Discharge Without Saving Data is selected the system will delete all data about this patient after being discharged DPM Central Station Oper
6. millimeters of mercury DPM Central Station Operator s Manual C 1 ms millisecond RPM respiration per minute S second V volt W watt C 2 Symbols minus o percent amp and per divide or z to Plus lt Less than Equal to gt Greater than Plus or minus x Multiply C 3 Abbreviations ABBREVIATION DEFINITIONS air cyl Air cylinder pressure AC Alternating current ADT Admission Discharge Transfer AgAwRR Anaesthesia gas air way respiration rate Air Flow Air flow AG Anaesthesia gas ART Arterial ATMP Atmospheric pressure AP MAP Mean artery pressure AUX Auxiliary AVF Left foot augmented lead C 2 DPM Central Station Operator s Manual ABBREVIATION AVL AVR AWRR BC BIS CCI Cdyn CE CFI CH C I CS C O CCO CO Compl CPI CPO CPU CRT Cr Cstat CVP DES D DIA dPmx DO DOI ECG EDV EE EEC EMC EMG EMR ENF DEFINITIONS Left arm augmented lead right arm augmented lead Air way respiratory rate Burst count Bispectral index Continuous cardiac index Dynamic compliance Conformit Europ enne Cardiac function index Channel Cardiac index Central station Cardiac output Continuous cardiac output Carbon dioxide Compliance Cardiac power index Cardiac power output Central processing unit Cathode ray tube Creatinine Static compliance Central venous pressure Desflurane Diastolic Left ventricular contractility Oxygen delivery Oxygen delivery index El
7. s Manual Manufacturer s Responsibility Contents of this manual are subject to change without prior notice All information contained in this manual is believed to be correct Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this manual Mindray is responsible for the effects on safety reliability and performance of this product only if NW all installation operations expansions changes modifications and repairs of this product are conducted by Mindray authorized personnel NW the electrical installation of the relevant room complies with the applicable national and local requirements and M the product is used in accordance with the instructions for use NOTE o This equipment must be operated by skilled trained clinical professionals WARNING o Itis important for the hospital or organization that uses this equipment to perform a reasonable service maintenance plan Neglecting this may result in machine breakdown or personal injury DPM Central Station Operator s Manual Il Warranty IV Mindray warrants that components within its products will be free from defects in workmanship and materials for a period of three years from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of pu
8. tab sheet Select and then click SvO2 ScvO2 parameter area Select the SvO2 or ScvO2 tab sheet and click the Oxygenation Parameters button Click the Print button from the pop up dialog box Printing Alarm Settings Report l 2 Enter Alarm Setup screen as per 8 4 Alarm Setup Click Print button Printing Real time Alarms If a parameter generates an alarm when its alarm switch and print switch are set to ON the central station will initiate a real time alarm printing 11 16 DPM Central Station Operator s Manual 11 2 4 Printing Control By clicking System Setup button and then selecting the Printing Control tab you can select local printer or network printer from the printer drop down list In the tab sheet the current tasks to be printed are displayed After selecting one task you can M Click the Delete button to delete this task mM Click the Pause button to pause this task M Click the Continue button to resume the paused task M Click the Delete All button to delete all printing tasks You can set up the printing in the Print Setup area on the right side of the sheet E Sweep Speed select a sweep speed of waveform from the options of 12 5mm s 25mm s and 50mm s mM 12 Lead Printout Sequence set the printing mode in 12 lead ECG report Simultaneous print simultaneous 12 lead ECG data Sequential
9. I Enter the Waveform Review tab sheet If full size waveforms are displayed click the Compressed button in the lower right corner of the screen Click the ARR Statistic button to enter the ARR Statistic menu where you can view the statistics about the HR value and the number of each arrhythmia type occurred during a specified time range Click the Print button Printing Event Lists L 2 Enter the Event Review tab sheet Click the icon on the right side of Print button under the event list and select Print Setup to set up the printing options Click the icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button DPM Central Station Operator s Manual 11 13 Printing Events l 2 Enter the Event Review tab sheet Select an event from the event list per 9 1 5 Event Review Click the icon on the right side of Print button under the event parameter area and select Print Preview to preview the printout Click the Print button Printing C O Measurements p 2 Enter the C O Review tab sheet Select one C O measurement Click the icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button Printing 12 Lead Analysis Results l 2 Enter the 12 lead Review
10. Log tab will enter a tab sheet which records the operating status of the central station providing the convenience for the service personnel to track and maintain the system Each log includes occurrence time log level and log description Delete You can delete all logs by clicking the Delete All button Refresh You can update the logs by clicking the Refresh button Export To export the logs 1 Click the Export button The Save As dialog box will be displayed 2 Select a disk to which the logs are exported The disk can be a local hard disk mobile hard disk or USB 3 The default file name is msXXXX If it is the first time saving the XXXX will be 0001 which will automatically add 1 every time log is saved You can change the file name as required 4 Click OK to initiate exporting data 5 Click Cancel to cancel exporting data 12 10 DPM Central Station Operator s Manual 12 2 7 Telemetry If your central station is connected with telemetry monitors select the Telemetry tab You can set the following items in an opened tab sheet Alarm Level Setup Click the Alarm Level Setup button In the pop up menu you can set the Alm Lev of ECG Lead Off Alm Lev of SpO Sensor Off and Alm Lev of No RF signal to High Med or Low The default setting 1s Low Monitoring Mode Setup Monitoring mode setup means
11. NW Delete trend group you can delete any custom trend group from the trend group list NW Rename trend group click the custom trend group to be renamed enter the new name of the trend group in the pop up dialog box 12 2 5 Monitor List Clicking the Monitor List will enter a tab sheet which lists all the monitors in the LAN including the monitors admitted by this central station The displayed items are monitor name unit bed no IP address and monitoring status The patient can be admitted by the central station only after the monitor is admitted by the central station Refresh You can update the list by clicking the Refresh button Admit You can select the monitor with the monitoring status of Not admitted by CMS and then click the Admit button to admit it to this central station Cancel You can select the monitor with the monitoring status of Admitted by this CMS and then click the Cancel button to cancel the admission Cancel All You can click the Cancel All button to cancel this central station s admission of all the monitors Admit All Current Unit s Monitors You can admit all current unit s monitors to this central station by clicking the Admit All Current Unit s Monitors button If Auto Admit All Current Unit s Monitors 1s selected the admission can be done automatically DPM Central Station Operator s Manual 12 9 12 2 6 Log Clicking the
12. Using the Show Desktop feature in Windows is prohibited Installing or using any other software not provided by Mindray is prohibited Software that has not been tested or verified by Mindray may cause the instability of the system Mindray assumes no responsibility for this When printing data through an external printer be sure to follow the printer s instructions In case any problem occurs during printing consult the printer s instructions To ensure the safety and stability of the network the LAN connecting the central station and the monitors should be a closed network which is not connected with the internet or other external networks DPM Central Station Operator s Manual 1 3 1 1 3 Notes NOTE o Keep this manual in the vicinity of the central station so that it can be easily located when needed eo During normal use the operator is expected to face the front of the equipment o The central station is capable of connecting up to 32 monitors and telemetry transmitters The cable connecting the monitor to the hub or exchange will not exceed 100 m otherwise it may result in network overload or weak network signals and consequently errors will occur during data transmission or displaying 1 4 DPM Central Station Operator s Manual 1 2 Equipment Symbols NOTE e Some symbols may not appear on your equipment eo This manual describes a series of typical computer symbols which may be slightly differe
13. etc Supports wired and wireless network Provides data output meeting the HL7 protocol Refer to eGateway HL7 Reference Manual for details To obtain this protocol contact local Mindray service representative or Mindray Customer Service Department E Supports receiving the data generated during interruption from networked monitors and combining the data E Supports the redundancy backup by two hard disks on the host computer NOTE eo Do not exchange the USB dongles The USB dongle is used to configure the optional system functions which may be different for different central station systems 2 5 Components The central station consists of system software computer hardware dongle network devices optional recorder optional printer optional and UPS optional DPM Central Station Operator s Manual 2 3 Figure 2 1 Central Station As shown above a typical central station mainly consists of the following components l Display 2 Host computer 3 Keyboard 4 USB dongle 5 Mouse NOTE The central station can be equipped with up to four external displays e This manual is written based on the maximum configuration Some contents may not apply to your system 2 4 DPM Central Station Operator s Manual 2 6 Networking Mode The typical networking diagram of a single central station is shown below Central Station Wired Network Wireless Network Telemetry Network Monitors equipped Moni
14. message occurs they will scroll Please refer to Appendix B for all the system alarms Displays the current time Patient Window Area For details refer to 6 2 Patient Window System Button and Icon Area System buttons include 1 DZ aa A WwW 4 2 Silence Admit Patient System Setup Discharged Pat Remote CMS Main Screen ViewBed Click to silence the central station For details Refer to 8 9 Central Station System Silence Click to enter the Connected patient list window Click to enter the System Setup window Click to enter the Discharged Patients window Click to enter the Remote CMS window Click to close the auxiliary screen and return to the main screen This button is only available in the single screen mode and dual screen mode Click to enter the auxiliary screen This button is only available in multi screen mode DPM Central Station Operator s Manual System icons include O nen Shows the alarms of all monitored patients within the specified 1 Alarm List time range 2 i Indicates that the printer can be used 3 Printer state Indicates a printer error Indicates that no printer is connected Indicates that the recorder can be used Indicates that the recorder is undergoing a self test Recorder state Indicates a recorder error Indicates that no recorder 1s connected Flashing indicates new monitors logged on to the
15. s Manual NOTE When an alarm icon appears the defibrillator icon will not be displayed 6 2 3 4 Technical Alarm Area The technical alarm area displays NW The technical alarms and messages coming from monitor or central station NW The work mode and initiated events of a defibrillator When multiple messages occur they will scroll 6 2 3 5 Physiological Alarm Area The physiological alarm area displays NW Physiological alarms coming from monitor NW A message indicating the alarm or physiological state For example Alarm Pause CPB Mode E For telemetry the battery icon and transmitter number When there are multiple messages they will scroll When alarms are latched alarm time is displayed otherwise the alarm time is not displayed NOTE o Different alarm priorities are indicated by different background colors in the alarm area Refer to Part 8 2 Alarm Mode for details eo You can view all physiological or technical alarms by positioning the mouse pointer inside the physiological or technical alarm area and pressing the left mouse button eo For unknown technical alarms the message is XX Technical Alarm XX representing high medium or low eo For unknown physiological alarms the message is XX Phys Alarm XX representing high medium or low DPM Central Station Operator s Manual 6 7 6 2 3 6 Waveform Area NW Displays waveforms transmitted from the monitor EW Disp
16. the patient window of a spot patient or clicking on the block of a non spot patient or selecting another bed number in the bed drop down list of single bed window NOTE eo In the single screen mode the central station uses the lower half screen to accommodate the ViewBed screen In the dual or multi screen mode the central station uses the secondary display screen to accommodate the ViewBed screen DPM Central Station Operator s Manual 7 1 7 2 ViewBed Screen X XXX x XX XX XXXX XX XXX XXX XX O e xx E 6 7 1 Patient information area 2 Alarm icon area 3 Technical alarm area 4 Physiological alarm area 5 Icon area 6 Waveform area 7 Parameter area Figure 7 1 ViewBed Screen Bedside Monitor 1 2 3 4 5 6 XXXX x X XXX XXXX X XXX XXXXXXXX X XX 80 x X 120 80 SSeS Se T 8 1 Patient information area 2 Alarm icon 3 Telemetry icon area 4 Technical alarm area 5 Physiological alarm area 6 Icon area 7 Waveform area 8 Parameter area Figure 7 2 ViewBed Screen Telemetry 7 2 DPM Central Station Operator s Manual In the patient information area patient bed number name gender and type are displayed For description on physiological alarm area alarm icon area technical alarm area and telemetry icons refer to 6 2 3 Patient Window in Monitoring Status 7 2 1 Icon Area Alarm Reset Monitor Silence A Alarm Pause STANDBY N
17. this area can only accommodate partial parameter values due to space confines of the screen However you can drag the vertical scroll bar to view more Click in a parameter window The border of the window will highlight when the window is selected Clicking on it again will enter the Parameter Setup tab sheet For details refer to 7 3 Parameter Setup NOTE o The waveforms and parameters are consistent between the central station and the monitor If you change the display order of waveforms and parameters on the monitor the display order of waveforms and parameters on the central station will not change automatically and vice versa o Incase a monitor module is turned off or a parameter is no longer being monitored the corresponding waveforms and parameters displayed at the central station will no longer display 7 3 Parameter Setup 7 4 Click in a parameter window and the border of this window will appear highlighted Clicking again will open the Parameter Setup window The current tab sheet depends on the parameter window you have selected For example if you click in the ECG parameter window the Parameter Setup window will open with the ECG tab sheet at the front In this tab sheet you can set alarm switch alarm limit record switch and sweep speed for all parameters For details on alarms refer to 8 4 Alarm Setup DPM Central Station Operator s Manual 7 4 Basic Operations 7 4 1
18. 2 3 4 Enter the ViewBed tab sheet Select and then click SvO2 ScvO gt parameter area Select the SvO or ScvO tab sheet and click the Oxygenation Parameters button Click the Record button from the pop up dialog box Recording Real time Waveforms l 2 3 4 Or Enter the ViewBed tab sheet Click the Record icon at the upper right corner Select a maximum of two 2 waveforms from the pop up dialog box Click OK to print out the selected waveforms Enter the Multibed screen and select the desired patient window Click the drop down menu button Select Record to print the displayed waveforms DPM Central Station Operator s Manual Recording Real time Frozen Waveforms l 2 3 4 5 Enter the ViewBed tab sheet Click the Freeze icon at the upper right corner Click the Record icon at the upper right corner Select a maximum of two 2 waveforms from the pop up dialog box Click OK to print out the selected waveforms Recording Real time Alarms If a parameter generates an alarm when its alarm switch and record switch are set to ON the central station will initiate a real time alarm recording DPM Central Station Operator s Manual 11 7 11 1 3 Recording Control By clicking the System Setup button then selecting the Recording Control tab you can enter a tab sheet In this tab sheet the cu
19. 720 events for each online patient Allows you to review a 4 hour dynamic short trend for each online patient Allows you to review up to 720 C O measurements for each online patient Allows you to review up to 240 hours of ST segments for each online patient Allows you to review up to 240 hours of waveforms for each online patient DPM Central Station Operator s Manual Allows you to review up to 240 hours of compressed waveforms for each online patient Allows you to review up to 240 hours of NIBP measurements for each online patient Allows you to review up to 720 12 lead analysis results for each online patient Is capable of storing discharged patients full disclosure waveforms parameters alarms etc allows you to search and review the data of up to 20 000 discharged patients Provides the patient information management function Provides audible and visual alarms Provides the functions of drug calculations titration table calculations hemodynamics calculations oxygenation calculations ventilation calculations and renal calculations Provides the functions to record print and save data Provides comprehensive help information prompts and operational guide Provides 1280x1024 high display resolution Provides two waveform display modes color and mono Facilitates the setup of language waveform and parameter color Supports such peripherals as the keyboard mouse thermal recorder laser printer speaker
20. Area 13 2 DPM Central Station Operator s Manual 13 2 4 Alarm Icon Area This area displays icons for alarm pause Al alarm off X alarm audio off X alarm 2 reset monitor silenced S Please refer to 6 2 3 3Alarm Icon Area NOTE o Inthe Remote CMS window only the alarm messages coming from the target monitor will be displayed 13 2 5 Button Area Click this button to open the Filtering Setup menu from which you can select your desired waves and parameters The waveform and parameter areas will then display the corresponding waveforms and parameters 13 2 6 Waveform Area This area displays the waveforms on the target monitor 13 2 7 Parameter Area This area displays the parameters on the target monitor Each block displays the parameters from the same parameter module 13 3 Remote CMS Review In the Remote CMS window there is waveform review tab trend review tab event review tab OxyCRG review tab ST review tab 12 lead Review tab and C O Review tab Select a tab and then you can access the corresponding review sheet The function of Remote CMS review is similar to that of local CMS online review Please refer to 9 1 Online Review DPM Central Station Operator s Manual 13 3 13 4 Network Setup and Authorization 13 4 1 IP Address Setup To implement the Remote CMS function between central stations each central station needs to be equipped with at least two network adapters one of which is for
21. Event Review for viewing recording and printing in Event Review 6 8 DPM Central Station Operator s Manual Icon name Icon Description m After the Event button is pressed on the transmitter the Event icon will continuously flash and a beep will sound E If you click this icon it will be cleared Ev nt EJ E An auto recording will be triggered if the Event s record switch is set to ON in Alarm Setup menu NW The event will be stored in Event Review Please refer to 9 1 5 Event Review for viewing recording and printing in Event Review This icon indicates the remaining battery charge available in the transmitter While the battery charge 1s depleting the color of the icon will change accordingly Battery NW White indicates the battery is in normal condition E Yellow indicates the battery is low NW Red indicates the battery is nearly depleted This icon indicates the received signal strength for a corresponding channel With the received signal strength changing the number of the signal bars and the color of the icon will change accordingly W White indicates the received signal strength is normal W Yellow indicates the received signal strength is weak NW Red indicates no signal is received Transmitter TEL Shows the transmitter number corresponding to this channel Number XXXX 6 3 Display Setup Clicking Display Setup in the patient window drop down menu wi
22. For details refer to 12 2 Admin Setup Enter Factory Setup By clicking the Factory Setup button and inputting the required password you can enter the Factory Setup menu As the Factory Setup is intended for use only by the manufacturer designated personnel no details will be given in this manual 12 2 Admin Setup Click the Admin Setup button in the General Setup tab sheet The Enter Password dialog box will pop up After inputting the required password select OK to enter a tab sheet 12 2 1 Setting Color On the central station screen all related information of one monitored parameter appears in the same color The related information includes real time waveforms including waveform name gain and filter mode real time parameter values including high and low limits reviewed waveforms including waveform name gain and filter mode etc you can set color for each monitored parameter and arrhythmia mark as required Procedure 1 Enter the Color tab sheet and then select a parameter or ARR mark whose color you want to change 2 Click the color box corresponding to the parameter or ARR mark and a list of available colors will be displayed 3 Select your desired color from the list DPM Central Station Operator s Manual 12 3 4 Ifyou want a color that is not in the list click Others to enter the window through which you can define a color you want 5 Sel
23. Manual 3 7 FOR YOUR NOTES 3 8 DPM Central Station Operator s Manual 4 Display 4 1 Overview The central monitoring system can support single screen dual screen and multi screen display modes 4 2 Single Screen Mode 4 2 1 Main Screen In single screen mode up to 16 monitors can be viewed simultaneously Figure 4 1 below shows the main screen in the single screen mode A 7 SETA oan ae a ji a i AAAI A ee ee ee i o cee a a ae lt B ri Ahh h HA A o E ADAN AA E a ee E ALA AAA a MM m m e E E e E i e E y Figure 4 1 Main Screen in Single Screen Mode System information area B Patient window area Tile 1 7 are spot patient windows and Tile 8 is non spot patient window C System button and icon area DPM Central Station Operator s Manual NOTE eo Insingle screen mode a maximum of 16 monitors can be viewed simultaneously If there are more than 16 but less than 32 monitors connected to the central station we recommend you to use dual or multi screen mode System Information Area pd In this area the following information is displayed Hospital information Displays the hospital and area where the central station 1s System alarm icon area System alarm area Current time located Displays the icon if in system silence mode or the icon if in system alarm audio off mode Displays the system prompts or alarms If more than one
24. NS ea a a a A a R 3 5 General PEO a Ia 3 5 3 0 2 General Cl MMM das 3 6 A RR A 4 1 A E PR E T 4 1 A O A 4 1 2 ASA A EAS 1 EEN OE A A A Tremere Tare RTE 4 1 Az AU EY O CE a id 4 4 A ale Ote cn MOS Dita A TA RS sian Me eonea ae 4 5 AA Muli Sereen Mode ii asia 4 6 AAA NATE A O 4 7 S Patent Mana cMent dad 5 1 DPM Central Station Operator s Manual 1 5s LAdmitine Paisa RD adios 5 1 5 1 1 Admitting Patient through Central Station ooccccccnccccnnnnnnnnnonnnnnnnnncnnnnnnnnncnnnnos 5 2 5 1 2 Admitting Patient through the MOMItor ooooooonnnnncnnnnnnnnnononononnnnnnnonnnnnnnnnncnnnnnnnnnos 5 4 LO AO Wave tora SOTA taa aaa ld leads 5 4 3 2 Obtaining Patient Indio AO ii 5 5 5 3 Patient Information Synchronization ccccccccncnnnnnnnnnononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnncnnnnnnnnnnss 5 6 5 4 Modifying Patient Informati0N ccccccccncnnnnnnnnnnonononononnnnnnnnnnnnnnnonononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnss 5 6 5 4 1 Inconsistent Patient Information between Monitor and Central Station 5 7 5 5 Discharoins a Patient aci iia 5 7 6 Switching Patient WindOw Siete serie Gite nde tea edie tal 5 8 3 7 Chansineto TIS SEC deals 5 9 O Trastero Pate nal 5 9 5 8 1 Transferring a Patient on Central Station oooonnnnnnnncnnncncnonononnnnnonocnnnnncnnnnnnnnonnnnos 5 9 3 0 2 Transferring a Patient on Monitor it dados 5 10 GIVING DEES CRCOIN PP A RO CRE A gn A E E E E 6 1 O OW CT VIC W ira 6 1 A Ul WM ase nen n
25. ST Review 9 1 7 1 Overview 9 20 Click the ST Review tab to open the ST review window as shown in Figure 9 5 In this window you can view real time ST segments and review historical ST segments You can also record and print out ST segments l Time Reference Historical Reference ST ST segment scale cursor cursor segment mark mark bar 1 Setting control area 2 Trend parameter area 3 ST segment area Figure 9 5 ST Review 1 Setting control area sets up ST segments and trend parameters 2 Trend parameter area displays trended parameters reference cursor historical cursor and ST segment mark 3 ST segment area displays real time or historical ST segments and reference ST segment DPM Central Station Operator s Manual NWARNING eo The ST algorithm has been tested for accuracy of the ST segment data The significance of the ST segment changes need to be determined by a clinician 9 1 7 2 Operation In the ST Review window you can E View ST segment Set reference ST segment Select reference ST segment Delete reference ST segment Set waveform speed Set trend parameter Print Record For details about record and print refer to Chapter 11 Record Print and Save as Viewing ST Segment In the setting control area you can select Realtime to view real time ST segments Historical to view historical ST segments by using the View Hist buttons You can also view histor
26. Setting Parameter Alarm In the Parameter Alarm Settings tab sheet you can set the alarm properties of ECG HR SpO and other parameters Take the HR as an example you can use the keyboard to modify its alarm high low limits by clicking HIGH LIMIT or LOW LIMIT as well as use the mouse to make a selection by clicking Alarm Priority Activation State Record On Alarm or Print On Alarm DPM Central Station Operator s Manual 8 5 8 4 2 2 Setting Arrhythmia Alarms In the Arrhythmia Alarms tab sheet the alarm for asystole tachycardia and other kinds of arrhythmia can be set here Alarm priority The alarm level can be set to High Med Low or Message Specifically the Message level only has text without the indication by audio background color and NW Activation state The activation state of each arrhythmia can be set individually In addition the activation state of some arrhythmias can be set as a whole with the buttons of All Alarm On All Alarm Off and Lethals Only Ifthe Lethals Only button is selected only the lethal arrhythmia alarms are set to ON and other alarms are set to OFF 9 Ifthe All Alarm On button is selected all arrhythmia alarms are set to ON 9 Ifthe All Alarm Off button is selected all arrhythmia alarms are set to OFF NW Record On Alarm Switch on off the rea
27. and click OK This set of drug calculations will be saved Hemodynamics Calculation 1 Enter the Hemo Calcs tab sheet 2 Perform hemodynamics calculation per 10 2 Hemodynamics Calculation 3 Click the Save As button The Save As dialog box will be displayed 4 Select a disk driver name and click OK This set of hemodynamics calculations will be saved Oxygenation Calculation l 2 3 4 Enter the Oxygenation Calc tab sheet Perform oxygenation calculation per 10 3 Oxygenation Calculation Click the Save As button The Save As dialog box will be displayed Select a disk driver name and click OK This set of oxygenation calculations will be saved Ventilation Calculation oe we Enter the Ventilation Calc tab sheet Perform ventilation calculation per 10 4 Ventilation Calculation Click the Save As button The Save As dialog box will be displayed Select a disk driver name and click OK This set of ventilation calculations will be saved Renal Calculation 1 2 3 4 Enter the Renal Calc tab sheet Perform renal calculation per 10 5 Renal Calculation Click the Save As button The Save As dialog box will be displayed Select a disk driver name and click OK This set of renal calculations will be saved DPM Central Station Operator s Manual 11 21 12 Lead Analysis Results 1 Enter the 12 lead Re
28. are displayed click the Full Size button in the lower right corner of the screen Select the current review time Click the icon on the right side of the Print button and select Print Setup to perform print setups as prompted Click the 1 icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button DPM Central Station Operator s Manual Printing Waveform Segment Reports t Enter the Waveform Review tab sheet If full size waveforms are displayed click the Compressed button in the lower right corner of the screen to change to the Compressed Waveform view Select the desired waveform groups by double clicking to add them to the report At most six 6 waveform groups can be printed on each page You can also deselect a waveform group by double clicking it again The Prev and Next button can be used to toggle between the selected waveform groups Select Print Preview to preview the printout Click the Print All button Printing Compressed Waveforms l Enter the Waveform Review tab sheet If full size waveforms are displayed click the Compressed button in the lower right corner of the screen Click the icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button Printing ARR Statistic Results
29. are three icons on the top left of the Help screen m Page down m 2 Page up m Return to the screen as shown in the above figure a ln Display copyright information including system software version system software and database copyright information and so on NOTE o The help information on the central station is not only about the system itself but also on a number of concepts and operations related to bedside monitors You can enter corresponding help information by selecting any of the following three links E Introduction Brief introduction to the central station and its configuration NW Operation Introduction Introduction to various operations of the central station such as multi bed and viewbed observation E Bio Essentials Introduction to monitoring function of each parameter module such as ECG SpO etc DPM Central Station Operator s Manual 15 1 FOR YOUR NOTES 15 2 DPM Central Station Operator s Manual A Technical Specifications A 1 Requirements The computer of the central station should be highly reliable and stable The commercial computer we recommend is HP EliteDesk 800 G1 SFF Recommended configurations of HP EliteDesk 800 G1 SFF are nee Meet the IEC60950 requirements defined for ITE equipment and comply stem with CE low voltage directives LVD and EMC directives Intel Core 15 2400 3 3GHz 4G minimum DDRII 500 GB minimum SATA Hard Disk support data redundancy by du
30. be displayed Set Time Synchronization to On Input master time server IP and second time server IP Click OK Manually change time l 2 3 12 14 Click the Change Time button and the dialog box will be displayed Set Time Synchronization to Off Adjust the Set System Time setting For year month and date you can either click them one after another to highlight the number and then use the keyboard to enter the DPM Central Station Operator s Manual number you want manually or click the down arrow button to open the time table and then select 1t from the table 4 For hour minute and second you can either click them one after another to highlight the number and then use the keyboard to enter the number you want manually or click the up or down arrow button to make changes 5 Click OK 12 2 8 4 Change Hospital Name 1 Click the Change Hospital Name button 2 Input hospital name and unit name 3 Select OK NOTE eo Hospital name should be within 128 characters and department name should be within 8 characters 12 2 8 5 Auto Shrink Database Auto shrink database provides the ability to clear up the invalid data in the database and release storage space The system requires database shrinking daily The default time of auto database shrink is set to zero hour 00 00 00 You can set to another desired time upon your needs To s
31. central station supports a multi screen mode which indicates that three or four displays are connected to one host In multi screen mode a maximum of 16 monitors can be viewed at one time on each display Figure 4 5 shows the multi screen mode All the displays default to the main screen The system buttons and icons are located at the bottom of the screen to furthest to the right or on the screen that contains the system buttons and icons Figure 4 5 Multi Screen Default Click a patient window and then the screen that contains the system buttons and icons changes to show the auxiliary screen of this patient To go back to the main screen select the icon in the system button and icon area Figure 4 6 Multi Screen Mode AI DPM Central Station Operator s Manual 4 5 Screen Layout The setting for the main screen layout directly configures each patient window s size and the total number and layout of patient windows Please refer to 12 2 2 Display Setup for details NWARNING o Ifthe monitors connected to the central station are more than the patient windows that can be displayed on the screen some monitors will be displayed in the non spot patient window in which only alarm status can be displayed To view the waveforms and parameters of a non spot patient you can switch it to spot patient window Refer to 6 2 Patient Window for addi
32. inspiratory plateau time in inspiratory time Time for the lower pressure level Total power Tube resistance compensation Trigger window Trigger sensitivity Rise time Time for the pressure to rise to target pressure Tidal volume Urine creatinine Urine osmolality Uninterruptible power supply Urine potassium Urinary sodium DPM Central Station Operator s Manual ABBREVIATION USB y VAC VCO Ver VO VO kg VOo m VOl VT VTapnea VTe TVe VTe spn VTi TVi VTsigh WOB WOBimp DEFINITIONS Universal serial bus Precordial lead Volts alternating current CO production version Oxygen consumption Oxygen consumption per body weight Oxygen consumption per body surface area Oxygen Consumption Index Tidal volume Apnea tidal volume Expiratory tidal volume Spontaneous breathed minute volume Inspiratory tidal volume Sigh tidal volume Work of breathing Imposed work of breathing DPM Central Station Operator s Manual C 4 Formulas Drug Calculations Conc mcg ml mg ml Abbreviation and Unit Description Formula g ml units ml k units ml Concentration AMOUNT Liquid Volume m units ml or mEq ml DOSE hr mcg mg units DOSE hr Infusion Rate x Conc k units m units or mEq DOSE min mcg mg units DOSE min DOSE hr 60 k units m units or mEq DOSE kg hr mcg mg units k units m units or DOSE kg hr DOSF hr kg mEq DOSE kg min mcg mg units k units m un
33. it may result in personnel injury The computer rumning the central station software must comply with local relevant regulations The central station is intended to connect Mindray monitors only Connecting the monitors made by other manufacturers may cause the values displayed on the central station inaccurate The service life of the central station depends on its hardware Rough treatment dropping or collision should be avoided in the operation on the keyboard mouse and computer otherwise the service life of the central station may be shortened Components of the central station such as the keyboard and mouse may be contaminated by microorganism during transport storage and use Before removing them from their packaging the packaging should be inspected for damage In case of any damage contact the carrier or our company immediately The central station can construct a wireless local area network WLAN by connecting monitors When data is transmitted via wireless radio frequency RF signals it may impair the environment or the use of other equipment Therefore the wireless RF equipment must comply with CE FCC and other local relevant standards and regulations When the central station is transmitting data via wireless RF signals loss of patient data may be caused by the interference of other RF signals DPM Central Station Operator s Manual NWARNING Data communication must be performed within a closed netwo
34. side of the Print button and select Print Preview to preview the printout A Click the Print button Printing Drug Calculations 1 Enter the Drug Calcs tab sheet 2 Perform drug calculation per 10 1 Drug Calculation 3 Click the P icon on the right side of the Print button and select Print Preview to preview the printout 4 Click the Print button 11 10 DPM Central Station Operator s Manual Printing Hemodynamics Calculations 1 Enter the Hemo Calcs tab sheet 2 Perform hemodynamics calculation per 10 2 Hemodynamics Calculation 3 Click the icon on the right side of the Print button and select Print Preview to preview the printout 4 Click the Print button Printing Oxygenation Calculations 1 Enter the Oxygenation Calc tab sheet 2 Perform oxygenation calculation per 10 3 Oxygenation Calculation 3 Click the P icon on the right side of the Print button and select Print Preview to preview the printout A Click the Print button Printing Ventilation Calculations 1 Enter the Ventilation Calc tab sheet 2 Perform ventilation calculation per 10 4 Ventilation Calculation 3 Click the icon on the right side of the Print button and select Print Preview to preview the printout 4 Click the Print button Printing Renal Calculations 1 Enter the Renal Calc tab sheet 2 Perf
35. tab sheet Click the icon on the right side of the Print button and select Print Setup to set the Time Span Click the icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button Printing 12 Lead Analysis Waveforms l Za 11 14 Enter the 12 lead Review tab sheet Click the Wave button after an analysis result is selected Click the icon on the right side of the Print button and select Print Setup to set up the printing options Click the 1 icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button DPM Central Station Operator s Manual Printing ST Segment Waveforms l Ze Enter the ST Review tab sheet Click the icon on the right side of the Print button and select Print Preview to preview the printout Click the Print button Printing Real time Waveforms l 2 J 4 or Enter the ViewBed tab sheet Click the Print button Select the desired waveforms from the pop up dialog box Click the OK button Enter the Multibed screen and select the desired patient window Click the drop down menu button Click the Print button to print the displayed waveforms Printing 12 Lead ECGs l e Enter the 12 lead ECG analysis tab sheet from
36. table Click the Calc button The calculations will be displayed in the drug parameter area and titration table DPM Central Station Operator s Manual NWARNING o Be sure to input correct parameter values The user must verify the correctness of the calculations displayed on the screen before using them o The calculations in the titration table are subject to the drug calculations therefore the correctness of the drug calculations must be ensured In addition the reference step and dose type should be ensured correct o We assume no responsibility for the results arising from incorrect inputs and operations Save Results The central station is capable of saving 75 calculations for each patient To save calculations you can click the Save Results button after the calculation is finished If the drug you select is a user defined drug the system will open the Enter drug name dialog box Input a drug name and click OK The system will remember this name and save 1t into the Name drop down list for later use All the saved calculations and their respective calculation times are displayed in the Calculated Results List From this list you can select a specific calculation to view in the drug parameter area At this time all parameters in the drug parameter area are unchangeable but the reference step and dose type in the titration table can be changed by selecting the New Calc b
37. the monitor Enter the ViewBed tab sheet from the central station Click Show Multi lead ECG icon at the upper right corner to display the 12 lead ECG waveforms Click the Print icon at upper right corner In the pop up dialog box select Print Layout Click the OK button Printing Multi Lead ECGs l 2 3 Enter the ViewBed tab sheet Click the Show Multi lead ECG icon to display the multi lead ECG waveforms Click the Print icon at the upper right corner DPM Central Station Operator s Manual 11 15 Printing EEG Waveforms l 2 3 4 Enter the ViewBed tab sheet Click the BIS Expand View icon to display the BIS window Click the Display button and select EEG from the pop up drop down menu Click the Print button Printing ICG Hemodynamic Parameters l 2 3 4 Enter the ViewBed tab sheet Select and then click ICG parameter area Select the ICG tab sheet and click the Hemodynamic Parameters button Click the Print button from the pop up dialog box Printing CCO Hemodynamic Parameters l 2 3 4 Enter the ViewBed tab sheet Select and then click CCO parameter area Select the CCO tab sheet and click the Hemodynamic Parameters button Click the Print button from the pop up dialog box Printing SvO2 ScvO Oxygenation Parameters l 2 3 4 Enter the ViewBed
38. the new destination bed 5 8 1 Transferring a Patient on Central Station The central station provides a patient transfer function NOTE o If the patient in the destination bed has not been discharged selecting Discharge Destination Bed Patient with Data Saved and then transferring a patient will automatically discharge the patient In this case make sure the patient in the destination bed is ready to be discharged before you transfer a patient to it Transfer Procedure 1 Enter the Patient Mgmt tab sheet 2 Click the Transfer button The system will open the Transfer dialog box 3 Select the desired Destination CMS and Destination Bed DPM Central Station Operator s Manual 5 9 Select Combine with Destination Bed Patient Data or Discharge Destination Bed Patient with Data Saved These two options will be unavailable if a patient has not been admitted to the destination bed Combine with Destination Bed Patient Data The system will transfer the patient data at the source bed to the destination bed and combine it with the data at destination bed Discharge Destination Bed Patient with Data Saved The system will discharge the destination bed patient saving its data before transferring the source bed patient data to the destination bed Click on the Continue button Select OK in the pop up dialog to transfer the patient to the destination bed When tr
39. to stop NIBP measuring ST Select Access the ST Select menu of the telemetry system and select the desired ST to be displayed in the patient window Start Stop NIBP Measurement Used to start or stop an NIBP measurement Move zone to Select to move the current patient window to another patient window NOTE One type of monitor can support only one of the following functions Monitor Silence or Alarm Reset Please refer to the corresponding operation manual for more information Therefore these features corresponding controls and buttons do not exist at the same time Any of the operations of Monitor Silence and Alarm Reset will set the corresponding patient windows on the central station to silence status 6 2 3 3 Alarm Icon Area 6 6 The alarm icon area displays No icon Indicates that the monitor system sound is normal E a Indicates that the monitor alarm is paused amp Indicates that the monitor alarm is turned off Indicates that the monitor system sound is silenced J Indicates that the monitor alarm sound is switched off Indicates that the monitor alarm system 1s reset Indicates that a defibrillator is currently connected to the bed ENDE Indicates the received signal strength of each telemetry device channel This symbol 1s only available for telemetry devices For additional information refer to 6 2 3 8 Telemetry Icons DPM Central Station Operator
40. two categories NW Physiological alarms and W Technical alarms By severity the alarms are classified into NW High priority alarms E Medium priority alarms and Low priority alarms NOTE eo For details on alarms refer to the monitor s operator s manual 8 2 Alarm Mode The central station gives audible and visual alarms in compliance with international standards NWARNING eo The audible and visual alarms given by the central station comply with the IEC 60601 1 8 standard The hospital or institution employing the use of the central station should give adequate training to the operators DPM Central Station Operator s Manual 8 1 8 2 1 Audible Alarms This system has three choices of alarm tones and patterns ISO Mode 1 and Mode 2 For each pattern the alarm tones identify the alarm levels as follows E ISO pattern High priority alarms Medium priority alarms Low priority alarms E Mode 1 High priority alarms Medium priority alarms Low priority alarms E Mode 2 High priority alarms Medium priority alarms Low priority alarms NOTE triple double triple double beep triple beep single beep high pitched triple beep double beep low pitched single beep high pitched triple beep double beep low pitched single beep eo When multiple patients have alarms of different priorities at the same time the system will select the alarms of highest prioriti
41. who are expected to have a working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Illustrations All illustrations in this manual serve as examples only They may not necessarily reflect the setup or data displayed on the equipment Conventions E Italic text is used in this manual to quote the referenced chapters or sections NW The terms danger warning and caution are used throughout this manual to point out hazards and to designate a degree or level or seriousness DPM Central Station Operator s Manual VII FOR YOUR NOTES VII DPM Central Station Operator s Manual Contents A CO A A O OO ATA 1 1 a A A A ty Caer tae 1 1 A A A E SER TiTn WATE Tae 1 2 LE Mes AU TARA Ta 1 3 ANO AAA 1 4 ous ara Uu Oy ave tao MDO ltda 1 5 AA S 2 1 ZE CAUSE A A E AS 2 1 2 2 Application Scope OF TG Mandal cdi id iii eai 2 1 oa O cesta eae cntacinet 2 2 DATING LOIS Oo A N EE a Ne 2 2 2 DC OMPON COS No 2 3 20 Ne hy ORI Modera a Gree a Gra a 2 5 DoT RE OME OMS A A A A EREE 2 6 Ded MINT PP onl A E A ET E A E A E 2 6 DTD Keyboard A AO 2 7 ES A A O O Be A ae 2 7 NANI EUA o e aaa 3 1 3 1 Unpacking and NSpeCuOM sicaire o E EEEO 3 1 E O A O O 3 2 3 2 1 Environmental Requirements oooonnccccccncnnncncnnonononononnnnnnnnnnnnnnnnonnnnnnnnnnonnnnnnnnnnnnnnss 3 2 Dilek POWEE REQUItS MES cra 3 3 SS the S yS E iaee R A S R 3 3 JA SIMU LMS Downi eS AA a O ae 3 4 A
42. within the central station If the check boxes before the department and bed number are selected other systems networked with this central station are authorized to view the patient If the check boxes before the department and bed number are not selected other systems networked with this central station are not authorized to view the patient mM Service Setup The Service Setup tab sheet lists CMS to Elan translator ADT query and data export setup items CMS to Elan Translator The options are Enable and Disable When Disable is selected all items in Gateway Communication Settings ADT Query Setup and Data Export Setup are grey and the central station does not communicate with eGateway Gateway Communication Settings You can set the central station communication mode with the eGateway If Multicast is selected the central station communicates with eGateway in multicast mode 9 If Unicast is selected the central station communicates with the specified eGateway in unicast mode IP Address will be eGateway address and Port setting will be consistent with that set in eGateway 12 16 DPM Central Station Operator s Manual ADT Query Setup ADT Query switch and the IP Address and Port for communicating with eGateway can be set here When ADT Query is set to Enable the IP Address and Port can be edited IP Add
43. 2 5 mm s 25 mm s and 50 mm s Changing sweep speed will affect the time length of the waveform area At the 1280x1024 resolution the sweep speed and time length correlate as follows Sweep Speed Time length approximate Sweep Speed Time length approximate NW Saving event Clicking the Save Event button will enter a dialog box Select the waveforms that can be saved and input an event description Then select OK to save the currently displayed waveform strips The saved event can be viewed in the Event Review screen m Auto play By clicking Auto Play and then selecting 8 or 2 buttons you can review waveforms in the auto mode NW Export to EMR By clicking the Export to EMR button you can export 20 seconds of waveform data after the start time of current waveform to other systems NOTE eo The Export to EMR function is available only when the eGateway is configured eo The Export to EMR function is available when Export Waveform Data is enabled in Admin Setup Other Gateway Communication Setting Service Setup DPM Central Station Operator s Manual 9 13 9 1 4 C O Review 9 1 4 1 Overview Clicking the C O Review tab will enter a tab sheet through which you can view up to 720 C O measurement curves and parameter values of a patient Below the C O review windows are the average C O and C I If you switch to the H
44. 4 14 6 Exit Database Backup and Recovery cocccccccccncnnnnnnnnocnnnnnnnnnnnnnnnnnnnnnnnnnnanonnnnnnncnnnnnnnnnos 14 4 DS System CIO A A E E rE E aaraa 15 1 PAE a a A eesat eee 15 1 A Technical Specifications AAA A AAA EEEE EEEE ears AEAEE EEEE EEE TaS A 1 A5L Requite menis aria ais A 1 PND INC CONG A O A A A ae ee ie A 2 PROD WW AGEING A A A A 2 PNA ING VNC WG Be ects sine hehe ata R ASS thane Asda Mea ated E a alana Alle dass A 2 AS CalOulat Oma eE n TE T OE A T E ONT meee OA coe eae A 2 AOS aN Sa ATE A ETE A TET a A 3 O E TA Ree Tee TA EE TA EEA ENEE N EEEE A 3 ENO MNS OOM E AAE INE AAE E EIN esta ag O E TA AAE TEATAS A 3 AI Data EX POL uua E aia A 4 BP Central Station ATAS cri a Ra B 1 C Units Symbols Terms and Formulas ssssssssceccccccccccccssssssesecccceecoccococosssssssesccececeeccessssssse C 1 e C 1 O IO ANN A II AI aer C 2 SAD DET MOS A o AT VET SET C 2 CAPO S aria C 10 DPM Central Station Operator s Manual 5 FOR YOUR NOTES 6 DPM Central Station Operator s Manual 1 Safety 1 1 Safety Information The safety statements presented in this chapter refer to the basic safety information that the operator of the central station shall pay attention to and abide by There are additional safety statements in other chapters or sections which may be the same as or similar to the followings or specific to the operations NWARNING eo Indicates a potential hazard situation or unsafe practice that
45. 5 Calculate To calculate a value 1 Input parameter values needed into the Input Item area 2 Pressure unit Hb unit and Oxygen content unit can be changed by scrolling the drop down lists at the right side of Press Unit or OxyCont Unit Parameter values will automatically change and refresh accordingly 3 Click the Calc button The calculations of other parameters will be displayed in the Calculated Results area Parameter values which are beyond the normal range will be displayed on a yellow background NWARNING o Be sure to input correct parameter values The user must verify the correctness of the calculations displayed on the screen before using them We assume no responsibility for the results arising from incorrect inputs and operations Save Results The central station 1s capable of saving 100 calculations for each patient To save calculations you can click the Save Results button after the calculation is finished NOTE eo If you continue to perform the Save Results operation when the number of calculations exceeds 100 the system will delete the earliest calculation and its corresponding time from the Calculated Results List before saving the new one Delete To delete unnecessary or incorrect calculations 1 Select the time corresponding to the calculation you want to delete from the Calculated Results List 2 Click the Delete button be
46. Alarm Setup Clicking the alarm setup icon Ar will enter the Alarm Setup tab sheet where you can set parameter alarms arrhythmia alarms arrhythmia alarm threshold and alarm related settings For details refer to 8 4 Alarm Setup 7 4 2 Resetting Alarms on Monitors AN By clicking the Alarm Reset icon EN you can acknowledge the on going alarms of the bedside monitor The on going alarms are also reset on the corresponding patient window on the central station Please refer to 8 6 Resetting Alarms 7 4 3 Silencing a Bedside Monitor By clicking the Monitor Silence icon Ea you can silence the current bedside monitor The corresponding patient window on the central station will enter the alarm silenced status You can reactivate the audible prompts of the silenced bedside monitor by clicking the Monitor Silence icon again 7 4 4 Pausing Alarms on Monitors i A By clicking the Alarm Pause icon E you can pause all current patient alarms for a period of time which is subject to the bedside monitor settings The alarm pause time for the telemetry transmitter is fixed to two 2 minutes After the alarm pause time ends the system will automatically release the alarm pause You can also release the alarm pause by clicking the Alarm Pause icon again DPM Central Station Operator s Manual 7 5 7 4 5 Standby The Standby icon 0 1s applicable to the telemetry transmitter only Clicking this icon will have the cur
47. CO PEEP PEEP CPAP PEEPI PEEPtot PEF C 6 DEFINITIONS Expiratory minute volume Leakage minute volume Nitrous oxide N20 cylinder pressure N20 flow Not applied Noninvasive blood pressure Negative inspiratory force Oxygen Difference between inspiratory and expiratory O Oxygen consumption index Oxygen cylinder pressure Secondary oxygen cylinder pressure O flow Oxygen Cardio respirogram 100 ms occlusion pressure Pulmonary artery Mean pulmonary artery pressure Air supply pressure Arterial oxygen level Arterial carbon dioxide level Apnea pressure Mean auxiliary pressure Minimum auxiliary pressure Peak auxiliary pressure Mean artery pressure Diastolic artery pressure Systolic artery pressure Personal computer Central venous pressure Mixed expire CO pressure Positive end expiratory pressure PEEP CPAP Intrinsic positive end expiratory pressure Total PEEP Peak expiratory flow DPM Central Station Operator s Manual ABBREVIATION Phigh PIF Pinsp PIP PLETH Plimit Plow Pmax Pmean Posm Ppeak Pplat PPV PR PTP PS 2 Psupp P Trigger PVCs PVPI Ramp RAP RAW RCexp RCinsp Re RESP Ri RQ RR RSBI SaO SEF SerNa SV DEFINITIONS Upper pressure level Peak inspiratory flow Pressure control level of inspiration Peak inspiratory pressure Plethysmogram Pressure limit level Lower pressure level Maximum airway pressure Mean pressure Plasma Osmolality Peak pressure Plateau pres
48. DPM Central Station Operator s Manual O Copyright 2013 2014 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights reserved For this Operator s Manual the issue date is 2014 11 WARNING eo Federal Law USA restricts this device to sale by or on the order of a physician DPM Central Station Operator s Manual Intellectual Property Statement JI SHENZHEN MINDRAY BIO MEDICAL ELECTRONICS CO LTD hereinafter called Mindray owns the intellectual property rights to this Mindray product and this manual This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray or of others Mindray intends to maintain the contents of this manual as confidential information Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rental adaptation translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden IN morar and MINDRAY are the trademarks registered or otherwise of mindray Mindray in China and other countries All other trademarks that appear in this manual are used only for informational or editorial purposes They are the property of their respective Owners DPM Central Station Operator
49. Display ST Segments of Three Leads As shown in Figure 7 6 above real time ST segments and reference segments are overlapped Real time ST segments and current ST values are displayed in the ECG parameter color Reference segments and ST reference values are displayed in white The ST segment displays the positions of the ISO point J point and ST point These three analysis points can be set in the central station 1f necessary or set on the bedside monitor For details refer to the operator s manual for the monitor DPM Central Station Operator s Manual 7 11 Display ST segments on the Multi lead ECG Screen If multi lead ECG screen is accessed corresponding ST segments are displayed after the lead waveforms on the multi lead or 12 lead screen as shown in Figure 7 7 below Figure 7 7 Display ST Segments on 12 lead ECG Screen 7 12 DPM Central Station Operator s Manual 8 Alarm Control 8 1 Alarm Structure Alarms triggered by a vital sign that appears abnormal or by a monitor s technical problems are sent to the central station by the monitors and then indicated to the users by the central station Most of the alarms originally come from the monitors The alarms coming from the central station itself are displayed in the patient window s technical alarm area or system alarm area on the upper screen Please refer to Appendix B Central Station Alarms for the alarm messages By nature the alarms are classified into
50. E If the computer host beeps during self tests or startup consult the manual provided with the computer for assistance or contact Mindray 3 4 Shutting Down the System It is important to properly shut down the system to prevent inadvertent errors from occurring To shut down the system 1 Click System Setup button 2 Select Shutdown from General Setup 3 The system will check if any patients are being monitored Ifo patients are being monitored go to the next step 9 If patients are still being monitored the message patients are being monitored Are you sure you want to shut down will be displayed You can either select Yes to begin the next step or select No to close the message box and stop the shutdown process 4 A message box asking whether to shut down the system will be displayed Select Yes from the message box 9 Ifno password is required while shutting down the central station the central station the operating system and host will automatically shut off Ifa password is required while shutting down the central station a dialog box will pop up You should enter the required password and select OK The central station the operating system and host will automatically shut off 5 Turn off the UPS if one is in use 6 Disconnect the power cord of each device from the power outlet NCAUTION eo All central station equipment must utilize the h
51. Factory Setup is intended for use only by manufacturer designated personnel In the General Setup tab sheet you can Set Alarm Volume The system provides 11 volume levels You can select one as required For details refer to 12 2 3 Alarm Set Minimum Alarm Volume and 8 3 Alarm Volume Set Reminder Volume You can set the reminder volume as High Med or Low Set Telemetry Alarm Delay You can set telemetry alarm delay time 6 sec by default and ST alarm delay time 30 sec by default The alarms include HR too high HR too low SpO too high SpO gt too low PR too high PR too low ST too high and ST too low DPM Central Station Operator s Manual 12 1 Draw Waveform Type There are two options E COLOR Selecting this option allows you to see smoothed waveforms E MONO Selecting this option allows you to see unprocessed waveforms You can set whether to display the grid in the waveform area Set Display Grid Set Unit Click the Unit Setup button to enter the Unit Setup screen You can set unit for each parameter of the following modules as required Mode rater ptm o cos teak ror em fee e so ist nvm fw GAS 12 2 DPM Central Station Operator s Manual Device Intergration mmHg kPa mbar hpa tcpCO tcpO mmHg kpa Enter Admin Setup By clicking the Admin Setup button and inputting the required password you can enter the Admin Setup menu
52. IBP measurement NIBP measurement T Freeze Alarm Limits Dynamic Trends Parameter Order a Record a Record E Print Multi lead ECG NIBP Table Alarm Setup Ei BIS Expand View Device Integration Expand View Used to acknowledge the on going alarms Used to silence current bedside monitor or reactivate the audible prompts of the silenced bedside monitor Used to enter or exit alarm paused status The pause time is subject to the monitor settings Used to enter or exit the STANDBY mode This option is available only in the telemetry mode Used to freeze and unfreeze waveforms Used to show hide alarm high low limits Used to show hide dynamic short trend Used to open the Parameter Order dialog box where you can set the display order of modules Used to show hide Device Integration Expand View For details about each button refer to 7 4 Basic Operations DPM Central Station Operator s Manual 7 3 7 2 2 Waveform Area This area is to display parameter waveforms transmitted from the bedside monitor In the single screen mode this area can only accommodate partial parameter waveforms due to space confines of the screen However you can drag the vertical scroll bar to view more 7 2 3 Parameter Area This area is to display parameter values transmitted from the bedside monitor Each parameter module occupies a rectangular area which is hereafter called parameter window In the single screen mode
53. New Bed Online will be shown When a patient is admitted his bed number cannot be identical to that of any other bed under monitoring Otherwise the patient can not be admitted On the LAN the patient on the bedside monitor can be admitted to any central station but can only be admitted to one central station 5 1 2 Admitting Patient through the Monitor When a patient is admitted to a monitor it will simultaneously be admitted to the central station if the monitor is on the network 5 1 3 Auto Waveform Storage By default the central station will store five waveforms with the descending priority of ECG 1 ECG 2 ECG 7 Pleth and Plethb each time a patient is admitted If waveforms in channel ECG 1 ECG 2 ECG 7 Pleth and Plethb are unavailable waveforms will not be automatically saved To change the waveforms to be saved refer to 9 1 3 Waveform Review for detail NOTE If you change ECG lead type through the bedside monitor after the waveforms have been automatically saved on the central station the waveforms stored in channel ECG 1 ECG 2 and ECG 7 may also change When a patient is discharged the waveform storage configurations are saved and the same waveform configuration is used the next time a patient is admitted If you discharge a patient and set the bed as an idle sector the waveform storage settings are cleared and the waveform configurations are restored to the system defaults DPM Central Stati
54. REA AAN 13 1 AS A E e POP Eo I S A A 13 1 13 2 Remote CMS View bed WII WS aid 13 1 SAN A A II O II O Se mere reve yet 13 2 1522 Physiological ATA TOTO dla 13 2 E Technical Alim A A A A A E cumaatacenoieans 13 2 TS 24 Alarm Con A a e A EE E E E 13 3 E A A Petar EOE RE eer Se OyeeN Ge tone Men T rene eT eT enn 13 3 13 2 6 Waveform Area ccccccccscccccceceeeceeeeeaeeeeesseeeeeeeeeeeeeeeeeeeaaaseaeesseseeeeeeeeeeeeeeeeaags 13 3 TD Zed parameter NGC stella ltd delta dold dad tacos 13 3 133 Remote CMS REVIEW ales 13 3 13 4 Network Setup and Authorization ccccccccccnnnnnnnnoonnnnnnnnnnnnnnnnonononnnnnnnnn nono nnnncnnnnnnnonnnnss 13 4 IA IPAddress Se UDua a a e ea aali 13 4 13 4 2 Setting the Network Card for Remote CMS coooooccccncccnnncnnnnnnnnnnnnonnnnnnnnccnnnnnnnnnos 13 4 ASA UMOMMZ AION ca 13 5 14 Database Backup and Recovery ciccscivesisceccentiveds cacecesesetisvcs cocesecesetisusscucuesaesdssevecestenessstssesees 14 1 USO UE O erin tented TE 14 1 4 DPM Central Station Operator s Manual 142 Backup Data DASE iii 14 2 EA o A A Gee meee 14 2 14 2 2 Select Backup Path ooooooncnnccccccccccccnononononononnncnnnnnnnnnnnnnnnononnnnnannnnnnccnnnnnnnnnos 14 2 142 Backup Databas Curl lalala dada balla beta 14 2 IAS Recover DIDAS joen E N EA aa 14 3 Isl Select Operation TDdi dba 14 3 E REE E A NE T A ene ESE eee A 14 3 Ho eo Daa DaS E i Po 5 0 E 14 3 HA Rebuild Dalia DASE iia 14 4 PASSO MG Dadas dd o ed 14
55. Review Tab Sheet 1 Event list displays event status locked or not time message priority and description 2 Event parameter area displays all parameter values for each event time The integrated device parameters are indicated with a before the parameter name and the relevant text 1s shown in white The central station prompts if an alarm occurs for a specific parameter and indicates the alarm priority by using different background colors Black no alarm generated Red high level alarm generated Yellow medium or low level alarm generated 3 Event waveform area displays relevant parameters waveforms within 16 seconds around the event time Please refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Review Screen Waveform Area for how to use calipers how to adjust ECG waveform gain and how to adjust sweep speed in waveform area Select an event from the event list and you will view its corresponding parameter values and waveforms in the event parameter area and event waveform area NOTE o For the integrated device events there are no corresponding waveforms in the event waveform area DPM Central Station Operator s Manual 9 15 9 1 5 2 Operation In the Event Review window you can mM Select event type and alarm priority Sequence the event list Make selection Lock and unlock Delete Sweep speed Print Record Save as Export to EMR For details about sweep spee
56. S monitor list and has admitted a patient but failed to connect to the network The monitor is in this CMS monitor list and has admitted a patient but the Cannot be monitored by patient was monitored by other CMS CMS The monitor is in this CMS monitor list and has admitted a patient but another patient with the same bed No in this CMS is being monitored The monitor is in CMS XX monitor list and has admitted a patient but the ECG algorithm of the transmitter does not match that of the CMS The monitor is in CMS XX monitor list and has admitted a patient but the CMS has reached its maximum number of beds The monitor is in CMS XX monitor list and has admitted a patient but failed to connect to the network The monitor is in CMS XX monitor list and has admitted a patient but another patient with the same bed No in CMS XX is being monitored For the monitor with the monitoring status of No Patient Admitted and the details of The monitor is in this CMS monitor list the Patient Info area is enabled and you can click the Admit Patient button to admit a patient DPM Central Station Operator s Manual 5 3 NOTE If you directly click on the Admit Patient button before inputting patient information the patient information will be blank In this case you can modify the patient information by referring to 5 4 Modifying Patient Information When there is no monitor online an alarm message No
57. Setup menu will pop up The options of Alarm Latched in the menu are active When Alarm Latched is not selected the alarm latched function is disabled Privacy Mode Select the checkbox before Privacy Mode to turn on off this function When Privacy Mode is selected you can remotely control the bedside monitor to enter privacy mode The corresponding control is available in the drop down menu of the spot patient window If it is not selected you cannot use this function The corresponding control is unavailable in the drop down menu of the spot patient window Night Mode Select the checkbox before Night Mode to turn on off this function When Night Mode is selected you can remotely control the bedside monitor to enter Night mode The corresponding control is available in the drop down menu of the spot patient window If it is not selected you cannot use this function The corresponding control is unavailable in the drop down menu of the spot patient window NOTE When the central station restarts the Alarm Setup Alarm Paused amp Alarm Reset Alarm Latched Privacy Mode and Night Mode checkboxes remain the same as the central station was last turned off DPM Central Station Operator s Manual 12 19 FOR YOUR NOTES 12 20 DPM Central Station Operator s Manual 1 3 Remote CMS 13 1 Overview In the event that there are multiple central stations in a LAN th
58. The 12 lead ECG data of a certain period is sequentially printed The period is decided by the print layout setting For example when the print layout is set to 6x2 1 the 12 leads are allocated into two columns The time span of each column is 5 seconds the first column is 0 5s waveforms the second column is 5s 10s waveforms One row of rhythm waveform is located at the bottom NW Grid Select if grid is printed You can set up the scheduled report printing in the Scheduled Report Setup area on the right side of the sheet mM Scheduled Report select or deselect the checkbox before Scheduled Report to switch the periodic report print on or off E Start Time set up the start time to print NW Interval set up the desired interval DPM Central Station Operator s Manual 11 17 NOTE If printing fails restart the printer and press the Restart Print Service button to resume When a network printer is selected only printing tasks of the central station are displayed The printing tasks of other networks are not displayed The option Scheduled Report Setup is available in Trend Review tab sheet only when the check box before Scheduled Report is selected in the Printing Control tab sheet 11 3 Save as The central station can save the following items as HTML files Graphic trends Tabular trends Waveform review C O review Event list review Event review Drug calculati
59. ad II in one channel With a 5 lead set you can only monitor the leads II V and I in three channels For details refer to the bedside monitor s operator s manual NOTE When a patient is discharged the multibed settings in Waveform Selection and Order are saved The waveforms will be displayed using the same default configurations when a new patient is admitted If you discharge a patient and set the bed to an idle sector the multibed settings in Waveform Selection and Order are cleared and the waveform configurations restore to the system defaults 6 3 2 Multibed Numeric Setup The default numeric group cannot be modified or deleted To change the displayed parameters and their order in the current patient window you will need to add a new group To add a new group l Click on the New Group button and New Group 1 will appear under Default Group Select the New Group 1 to open the Select amp Order list Select a parameter from the Select amp Order list The Numeric Preview area will show the parameter you have just selected A maximum of 5 parameters are allowed to be selected Select a parameter by clicking on its name and change its order by clicking Move First Move Up Move Down or Move Last Click the Save Group button and then select the New Group 1 The current patient will show parameters according to the se
60. al Station Operator s Manual NOTE o If multiple arrhythmia alarms occur at the same time only the high priority alarm s will be marked if the arrhythmia alarms are of the same level the alarm of highest priority will be marked E Viewing arrhythmia statistic Click the ARR Statistic button to view the statistics about the HR value and the number of each arrhythmia type during a certain time range You can set the time range as 24 hours 12 hours or 8 hours For details about Print refer to chapter 11 Record Print and Save as E Showing hiding parameter Click the Numeric Data button to display the patient s parameter information in uncompressed waveform area Click the Hide Numerics button to display the full size of the cursor located compressed wave in uncompressed waveform area E Zoom Set the time span of each line in the compressed waveform window The options are 15s 30s 45s Imin and 2min The longer the time span of each line gets the more lines of compressed waveform display on the screen In single screen mode up to 10 lines of waveforms can be displayed in dual or multi screen mode up to 32 lines of waveforms can be displayed E ICP wavefrom scale When ICP is displayed in the compressed waveform area you can right click the mouse to adjust ICP waveform amplitude Each time you click the right key the scale is adjusted in the preset order There are four levels of the s
61. al Station Operator s Manual 2 1 7 4 6 Controlling a Bedside Monitor to Exit Standby 7 4 7 NIBP Measurement 8 4 Alarm Setup 8 5 Pausing Alarms 8 6 Resetting Alarms 8 7 Silencing the Monitors 8 8 Latching Alarms 2 3 Contraindications None 2 4 Functions amp Features The central station is comprised of powerful system software and high performance computer components It constructs a monitoring network by connecting monitors and telemetry transmitters By collecting processing analyzing and outputting the information coming from monitors and telemetry transmitters the central station can achieve centralized monitoring over multiple patients so as to greatly promote the efficiency and quality of the monitoring work The central station E Is capable of connecting up to 32 monitors that support the CMS network protocol EH Is capable of connecting up to 32 telemetry transmitters E Only supports the Mindray monitoring devices a Supports individual bed 1 32 bed frequency setup in each telemetry monitoring system Supports multi screen display mode Is capable of displaying information from 16 monitors in the single screen mode and 32 monitors in the dual or multi screen mode Allows you to view a single patient Supports the networking between multiple central stations and the Remote central stations Allows you to review up to 240 hours of trend data for each online patient Allows you to review up to
62. al hard Host disks 1000M Network adapter Base T Ethernet 802 3 RJ45 port Six or more USB ports support USB 2 0 One or more serial ports Display 17 LCD minimum 1280x1024 length width 4 3 or 5 4 with CE marking Operating O Support Windows 7 Professional Embedded SP1 System Support Solidcore S3 Control Dual display TS Minimum 256M NVIDIA GeForce 8500 GT or above graphic card Sneak Built in the computer or the display Give alarm tones 45 to 85 dB alarm eaker E tones comply with IEC 60601 1 8 Audio Analog Devices AD1884 Intel 82801IB ICH9 High Definition Audio Adapter Controller NOTE eo The configuration above is for reference only DPM Central Station Operator s Manual A 1 A 2 Recorder Thermal recorder Width of the recorder paper A 3 Wired Network Network interface RJ45 Max alarm time delay lt 2s A 4 Review 240 hours of full disclosure waveforms and compressed Waveform review waveforms NIBP review Most recent 240 hours of NIBP measurements 720 events including the parameter name and 16s waveform Event review A respectively before and after the alarm is triggered up to 20 000 discharged patients data l 720 12 lead analysis results 12 analysis waveforms for each 12 lead Review analysis result Most recent 240 hours of ST segments A 5 Calculation Drug calculation 75 calculations for single patient Hemodynamics calculation 100 calculatio
63. alled repaired upgraded or has been used for 6 12 months a thorough inspection should be performed by qualified service personnel to ensure its reliability Follow these guidelines Inspect the equipment and its accessories for mechanical damage Make sure the environment and power supply meet the specific requirements Inspect all power cords and signal lines for fraying or other damages and ensure that they are properly connected and insulated Inspect the sound system functions normally Inspect each function of the system is in good condition In case of any damage or abnormity do not use the central station Contact the hospital biomedical engineers or Mindray service personnel immediately DPM Central Station Operator s Manual 3 5 3 5 2 General Cleaning NWARNING o Be sure to shut down the system and disconnect all power cords from the outlet before cleaning the equipment Your equipment should be cleaned on a regular basis If you are in an area that is heavily polluted or dusty the equipment should be cleaned more frequently The equipment to be cleaned includes the host displays printer recorder keyboard and mouse Before cleaning the equipment consult your hospital s regulations for cleaning disinfecting and sterilizing equipment Cleaning Agents The exterior surfaces of the equipment may be cleaned with a clean and soft cloth sponge or cotton ball dampened with a non erosive cleaning solu
64. ansferring patients between different central stations you need to accept the source central station s transfer request at the destination central station NOTE Selecting Combining with Destination Bed Patient Data to transfer a patient may cause patient data loss if the system time at the source and destination central station are unsynchronized Ensure that the same patient is monitored by both the source and destination beds when using the Combining with Destination Bed Patient Data option is selected Otherwise select the Discharge Destination Bed Patient with Data Saved option When a patient is transferred from one bed to another the central station will interrupt bedside monitoring temporarily When a patient is transferred within one central station all the monitored data will be transferred along if the patient transfer is among different central stations the full disclosure waveforms and trend data from the last 72 hours and other historic data are transferred along If there is version difference between two central stations patient transfer may not be enabled Patients connected to a defibrillator or an Accutorr 7 bedside monitor cannot be transferred 5 8 2 Transferring a Patient on Monitor When a patient is transferred between bedside monitors by a transport device the bedside monitors will inform the central station of the transfer The central station will automatically operate as
65. are latched alarm time is displayed otherwise the alarm time is not displayed The high priority alarm messages are in white font and medium low priority alarm messages are in black font Besides alarm messages the technical alarm area also displays prompt messages coming from monitors Those prompts are in a white font 8 2 4 Color Changes If a spot patient has an alarm its corresponding patient window will give an alarm message with different background colors indicating different alarm priorities NW High priority alarms red E Medium priority alarms yellow NW Low priority alarms yellow If a non spot patient has an alarm its corresponding block will appear in red indicating a high priority alarm or yellow indicating a medium or low level alarm Additionally the spot patient window displays the parameters in alarm with different background colors and flashing frequencies indicating different alarm priorities NW High priority alarms red quickly flash E Medium priority alarms yellow slowly flash NW Low priority alarms yellow no flash 8 2 5 Parameter Flashes In the ViewBed screen if a patient s physiological parameter generates an alarm this parameter will flash in the parameter area If the alarm high low limits of the parameter are displayed in the ViewBed screen either the alarm high or low limit will also flash indicating that the parameter exceeds the alarm high or low limit DPM Central Station Opera
66. atient Windows In the process of monitoring the spot patient window may stay in one of the following Statuses E No Patient Admitted or patient transferred indicates that no patient is admitted to the monitor or patient was transferred to another monitor E Offline indicates that this patient window has a patient admitted but its corresponding monitor may be turned off or disconnected from the central station E The patient window is in monitoring status Indicates that the patient window has an assigned monitor an admitted patient and is communicating with the central station m Standby indicates that the monitor or telemetry transmitter has entered the Standby mode m Idle sector Click to admit a patient indicates that the patient window is available for patient admission and bonding with a monitor DPM Central Station Operator s Manual 6 3 6 2 3 Patient Window in Monitoring Status When a patient window is in the monitoring status it displays real time patient data transmitted from the monitor including a maximum of 4 waveforms and 5 parameters as shown in the figure below In an individual patient window the number of waveforms and the layout of parameters are subject to the display format set for the multibed screen as shown in Figure 6 2 l 2 3 4 120 80 5 6 1 Bed mark amp drop down menu button 2 Alarm icon area 3 Technical alarm area 4 Physiological alarm area 5 Wave
67. ation 3 Click the Record button to print out the hemodynamics calculations Recording Oxygenation Calculations 1 Enter the Oxygenation Calc tab sheet 2 Perform oxygenation calculation as per 10 3 Oxygenation Calculation 3 Click the Record button to print out the oxygenation calculations Recording Ventilation Calculations 1 Enter the Ventilation Calc tab sheet 2 Perform ventilation calculation as per 10 4 Ventilation Calculation 3 Click the Record button to print out the ventilation calculations Recording Renal Calculations 1 Enter the Renal Calc tab sheet 2 Perform renal calculation per 10 5 Renal Calculation 3 Click the Record button to print out the renal calculations 11 4 DPM Central Station Operator s Manual Recording Full Size Waveforms 1 Enter the Waveform Review tab sheet 2 Click the Full Size button 3 Click the Record button 4 Select a maximum of two 2 waveforms from the pop up dialog box 5 Select OK to print out the selected waveforms Recording Events 1 Enter the Event Review tab sheet 2 Select an event from the event list per 9 1 5 Event Review 3 Click the Record button 4 From the pop up dialog box you can select a maximum of two 2 waveforms 5 Select OK to print out the selected waveforms Recording C O Measurements 1 Enter the C O Review tab sheet 2 Select
68. ator s Manual 5 7 3 Optional Some monitor models have a Standby option also The message The monitor enters the Standby mode after the patient is discharged will be displayed if your monitor has this option Select or deselect this option If this option is selected the monitor will directly enter Standby mode after a patient is discharged The option is selected by default If this option is not selected the monitor will automatically admit a new patient after the previous patient is discharged 4 Click the OK button NW Procedure 2 applied to both spot patients and non spot patients 1 Click the patient window for a spot patient or the block in the last patient window for a non spot patient 2 Select the Patient Mgmt tab sheet 3 Click the Discharge button in the Patient Mgmt tab sheet 4 Perform Steps 2 through 4 of Procedure 1 CAUTION o When the message The patient data storage space is nearly full Please delete some discharged patients appears in the system information area please follow the instruction Otherwise the system will automatically delete the data of the earliest patient s in the database when the discharged patient storage space is full NOTE o When a patient is discharged the waveform storage configurations are saved and used again the next time a patient is admitted e If you discharge a patient and set the bed as an idle sector the wa
69. automatically delete the oldest locked event with each addition of a new event when system storage reaches capacity When a locked event is selected the button Lock will change to Unlock You can click the Unlock button to unlock the locked event Deleting Event l Select the event you wish to delete from the event list 2 Click the Delete button 3 Select OK from the pop up dialog box This event will be deleted Export to EMR Select one event from event list and then click the Export to EMR button The event related data can be exported to other systems NOTE eo The Export to EMR function is available only when the eGateway is configured eo The Export to EMR function is available when Export Waveform Data is enabled in Admin Setup Other Gateway Communication Setting Service Setup 9 18 DPM Central Station Operator s Manual 9 1 6 12 Lead Review If the bedside monitor supports the 12 lead analysis function you can click the 12 lead Review tab to review the 12 lead analysis result obtained from the bedside monitor Refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Review Screen Waveform Area for how to use calipers how to adjust ECG waveform gain and how to adjust sweep speed in waveform area In the 12 lead Review window you can E View 12 analysis waveforms Delete Sweep speed Print Record Sa
70. aveforms Select sweep speed Save event Auto play Record Print Save as Export to Electronic Medical Record EMR system For details about record print and save as refer to chapter 11 Record Print and Save as E Selecting waveforms to be saved By clicking the Wave Save button you can select waveforms to be saved for each patient as desired following this procedure 1 Select a patient from Patient Info list 2 Select waveforms to be saved for this patient from the Waveform list 3 Repeat step l and step 2 to select waveforms to be saved for other patients 4 Select OK and the system will save all the selected waveforms The central station can save up to 240 hours of waveform data for each patient If you did not select waveforms for a patient waveform and parameter values cannot be reviewed from the Waveform Review window For details about automatic waveform storage refer to 5 1 3 Auto Waveform Storage E Selecting waveforms Click the Wave Select button and a list of available waveforms will be shown By default all waveforms are selected You can deselect a waveform by selecting its check box You can also drag a waveform name to change its display order 9 12 DPM Central Station Operator s Manual mM Selecting sweep speed By clicking the Sweep Speed button you can set the width of waveforms displayed in the waveform area Available options are 6 25 mm s 1
71. cale 0 15 mmHg 0 20 mmHg 0 30 mmHg and 0 40 mmHg After the change the scale level displays above the ICP waveform DPM Central Station Operator s Manual 9 7 9 1 3 3 Full Size Waveform Review Full Size Waveform Review Screen Click the Waveform Review tab Click the Full Size button to open the following window through which you can review the patient s latest 240 hours of waveform data pb dd dd AA X XXX XXXX jj Seecccccecpecceccec XXX 4 x X 60 X X X X 98 X X x X 60 X xX X 37 7 X X X X 37 2 X X 3 O 1 XX XXX g 6 1 Time bar 2 Waveform area 3 Parameter area 4 Waveform time display area 5 Current cursor 6 Caliper 7 Caliper measurement area 8 Button area Figure 9 3 Waveform Review Tab Sheet E Time Bar The time bar adopts different colors to identify the alarm status of different time periods White indicates that there are no waveforms and values Green indicates that there are waveforms and all monitored parameters are within range and no alarms are occurring Yellow indicates that some parameters have low or medium level alarms but there are still waveforms Red indicates that some parameters have high level alarms but there are still waveforms Within the time bar there is a black line indicating the time to which the current cursor corresponds While moving the cursor along the ti
72. casings properly grounded The host of the central station is provided with a 3 wire power cable which must be plugged into a properly grounded 3 wire receptacle If a 3 wire grounded receptacle is not available consult the hospital electrician NWARNING o Make sure that the operating environment and power source of the central station meet the specific requirements otherwise unexpected consequences e g damage to the equipment may result eo Appropriate power supply must be selected according to the setup of the system power voltage otherwise serious damage may be caused to the system o Never use a 3 wire to 2 wire adapter with any unit of the central station 3 3 Starting the System To start your system 1 Perform safety checks before starting your system For details refer to 3 5 1 General Inspection 2 Turn on the UPS and power on the system 3 Press the power switches on the host to start the operating system and displays 4 The system will perform a series of self tests and displays corresponding information on the screen 5 If the self tests pass the system will beep three times and enter the main screen immediately If there is a self test failure the system will beep and display an error message NCAUTION o To prevent damaging the system from a sudden power failure it is recommended that your central station is equipped with an UPS DPM Central Station Operator s Manual 3 3 NOT
73. central Networking station prompt Not flashing indicates no new monitor logged on to the central station 7 En Indicates that the network is connected Network status Indicates that the network is disconnected Indicates that the storage system 1s in a normal state and the data 1s protected from a disk failure Indicates that the storage system is in a warning state and data Storage may be at risk system status Indicates that the storage system is in an error state and data may be lost Indicates that the storage system is in a busy state while an operation is in progress DPM Central Station Operator s Manual 4 3 Shows the alarms of all monitored patients within the specified Alarm List time range Indicates that the system connects the USB storage device 2 USB state c a This icon will not appear when the USB dongle is connected Click this icon to return to the main screen This icon 1s Main screen available in multi screen mode 4 2 2 Auxiliary Screen X XXX X XXX A XXXX sm o XX Auxiliary Screen le e e e Y SS Y Y Y Y Figure 4 2 Auxiliary Screen in Single Screen Mode In single screen mode you can enter the auxiliary screen by clicking a patient window As shown in Figure 4 2 the auxiliary screen will occupy the lower part of the screen The system will automatically adjust the size and number of patient windows in this mode NOTE o F
74. cere eee RE 9 1 9 Onne RE VIC Wa ca casaentoidaemenenacionen A ea cudoupenesca aneocangeanes 9 1 HELD namie Short Trend dd dis 9 1 A A O A IN 9 2 Ol WAN LOLI REV oa 9 4 9 TAC O REVIEW ec o AA a 9 14 FAE ERON N e a ore Gren A 9 15 D316 T2 Lead RE ide 9 19 DAS ERE O Witt daidad idolo dede ii 9 20 92 Discharsed PAE E E T E 9 22 ON AA O II A Me Ten Emre unre 9 23 MOC Al CU AGION AAA E teas casucnadadee E 10 1 LOM Dis Calculator as 10 1 10 20 Hemodynamics Calcula nai AN 10 4 LOLS Oxy Cena Calcula toni ii il 10 5 104 Ventilation Calc laos is AA is 10 7 DPM Central Station Operator s Manual 3 AA A a a a a a 10 8 LE Record Print and Saye AS A AA aea ASA 11 1 ET We PIR PPP eaaa o 11 1 11 11 Installing Recorder Pap aid 11 2 112 Recorder Operations urnas dc 11 4 LAS Records Controlado iii 11 8 APAN ease orc fest cca ter car ned rca era sce Test tec Poa cat O RO 11 9 12 PRU SUPPO Caida is 11 9 LAA a A Salad hcnculs arid tata acne ae ede asa te 11 9 11 243 Prats Operations aladas 11 10 11 24 Pertinencia dls 11 17 T3 Saye A acne cute ewe E OE E TANE E 11 18 PAS ET AAA II NENNEN 12 1 DA OS 12 1 RAJA SUD a E secia 12 3 PAA o s a E 0 o LT E A EA RE E A T EEO AT O ET 12 3 12 22 DISPLAY ED nio 12 4 PP A A E 12 7 VDD AT red Group A A Ea 12 8 SDO S ea a iii 12 9 AA a Menem mire Maer eee mene ten 12 10 SA ccs uals ealica ies ceies eae ba asm Rt ace Ra mencma eset as miata 12 11 1228 O AAA E 12 12 IS Remolie CMS O EA ADS ARS AE
75. ckup and Recovery button and a message box will pop up Select Yes the central station will automatically shut off and start database backup and recovery NOTE o Take care to perform database backup and recovery This will automatically shut off the central station When the central station fails to log in the database The central station will automatically log into the database when it starts If it fails to log into the data base a message box will pop up Click the Restart button to restart the central station select the Recover button to backup and recover the database By operating the Windows operating system Click the Start button of the Windows operating system select Programs and then select Database Backup and Recovery to run the database backup and recovery program DPM Central Station Operator s Manual 14 1 14 2 Backup Database 14 2 1 Select Operation Type When you run the Database Backup and Recovery program a dialog will pop up for you to select the operation type Select Backup Database 14 2 2 Select Backup Path You can backup the database on the local hard disk or on a USB disk Select a path from the drop down list The available hard disk partitions are listed automatically and a directory in which the backup file 1s stored is created automatically NOTE e Do not modify the directory of the backup file It is specified by the system Th
76. corder which with a separate power supply is connected with the host of the central station via the general interface Power indicato Figure 11 1 Front Panel Power switch Equipotential grounding connector Fuse RS232 connector Power inlet Figure 11 2 Back Panel Recording can be divided into manual recording and auto recording The former requires you to press the Record button before recording The latter also called real time recording means that the system will automatically initiates a recording when an alarm occurs The central station can print out the following information through the recorder DPM Central Station Operator s Manual 11 1 Patient Information Drug Calculations Hemodynamics Calculations Oxygenation Calculations Ventilation Calculations Renal Calculations Waveforms Events C O Measurements 12 Lead Review ST Review ICG Hemodynamic Parameters CCO Hemodynamic Parameters SvO ScvO Oxygenation Parameters Real time Waveforms Real time Frozen Waveforms Real time Alarms 11 1 1 Installing Recorder Paper NWARNING o Be sure to use standard 50mm thermal recorder paper only otherwise the recorder may print with poor quality may be unusable or the recorder printer head may become damaged o Be careful to avoid damaging the printer head when installing recorder paper Never pull open the paper bail at the upper left corner of the recorder except if you plan t
77. d refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Operation For details about record print and save as refer to chapter 11 Record Print and Save as Selecting Event Type and Alarm Priority Above the event list there are two drop down list boxes Filter by Event and Filter by Priority By clicking the down arrow buttons next to them you can select event type and level The selected events will be listed in the event list Options for event type are All ECG SpO RESP NIBP IBP C O TEMP CO GAS ICG BIS RM CCO SvQ ScvO Arr ST Analysis Saved Event Event only for telemetry monitor Anesthesia Ventilator Unknown Phys Alarm User Initiated only for defibrillator Manual Event and options for alarm priority include All High Med Low or Message By default All for alarm type and All for alarm priority are selected 9 16 DPM Central Station Operator s Manual Sorting the Event List You can sort all events ascendingly or descendingly by clicking the heading of any column Time Clicking 1t will sort all alarms ascendingly or descendingly by time Message Clicking 1t will sort all alarms ascendingly or descendingly by parameter Description Clicking 1t will sort all alarms ascendingly or descendi
78. d Patients The central station is capable of searching and reviewing the history data of up to 20 000 patients It includes all patients patient management waveform review trend review event review 12 lead review ST review and C O review By clicking the Discharged Pat button you can enter the tab sheet which contains nine 9 tabs as follows All patients Patient Mgmt Waveform Review Trend Review Event Review 12 lead Review ST Review C O Review NOTE o The patient management waveform review trend review event review 12 lead review ST review and C O review for discharged patients are basically the same with that for online patients For details refer to 9 1 Online Review 9 22 DPM Central Station Operator s Manual 9 2 1 All Patients 9 2 1 1 Overview In the All patients tab sheet you can view discharged patients data from all central stations on the network Brief information of discharged patients on the selected central station 1s shown in the patient list with each line for one discharged patient NOTE eo The discharged patients on a central station can be viewed only when the IP address of a central station is added in the System Setup menu Please refer to 12 2 8 7 Communication Settings for adding an IP address 9 2 1 2 Operation In the All patients tab sheet you can EH Sort discharged patients NW Search discharged patients M Delete discharged patients
79. d dd icsia 7 8 2 DPM Central Station Operator s Manual ES E E 7 8 a 2 lh re era er err ayn OT aT ETS ce Me Tere Te ay eat rT nT tort Onte wear TTS nee Tie TRI enter y 7 8 7 4 14 Show Hide Multi Lead ECG cocccccccnnnnnnnnnooocccnnnnnnnnnnonononononnnnnnnonannnnnnnncnnnnnnnnnss 7 9 ALS SOW Ade NIBP Table iras alada ln aldea daba 7 10 14 16 Show Hide BIS Expand VIEW ia 7 10 7 4 17 Show Hide Device Integration Expand Vie W occccccccnccnnnnnnnnnnnononccnnnncnnnnnnonoss 7 10 TA LSD play L SSSR ICIS dad aa 7 11 S Alarm Control PA II II a 8 1 lari SUC A A A A eeatae 8 1 82 Ar MO dE A leo 8 1 s2 AP E Eo 8 2 6 2 2 Reminder TON A aaa anatomical aa A 8 2 of Me OVW Esa ATMO A II II O E Mere kere N ere sete 8 3 RANA O A dal adeie eee 8 3 AN te le AS eS dares aa cami tht onattdaasceatonetensacumuciaat A NON 8 3 B S Aladin VOS a ES is 8 4 TAL SPU nian ta eens tee Gee he ata sete tage hein Sn aac neta 8 4 8 4 1 Parameter Setup Tab Sheet cccccccssssssssesesseeseeeecceeeeeeseeeeaseeeesesseseeeeeees 8 4 542 Alarm Setup Lab She taaa a R 8 5 8 5 Pausin e ALAS A A uaineaas hesearnaiencanaatee 8 7 Ode A a A A ne ae Manca heats 8 7 Ba 7 USN Cime Me NOM MOL S oc Sess li had airmen a a dentin 8 8 BO a AIAN y SR AAA A RT TA 8 8 5 7 Central Station System Silene osierocenie tasters nant E 8 9 8 10 Central station Alarm Audio Off 20 a ade a id 8 10 PREVIEW eer ceerere eee cre preter EA ere eer ieeh err er ererrrerhrrrrrerererrrerrcrrrrerererrrerr
80. disable the remote alarm control function on the central station When remote alarm control is disabled the icon is inactive and the Alarm Reset control is not available in the drop down menu in the Multibed screen Refer to 12 2 8 Other to see how to enable or disable the remote alarm control function 8 7 Silencing the Monitors For the monitors supporting bidirectional control of monitor silence you can control the monitors to enter the silence status through the following ways NW Inthe ViewBed screen click the monitor silence icon w NW Inthe Multibed screen you can click the right mouse button when the cursor is in the window where the patient needs the Monitor Silence setting or select the option Monitor Silence in its drop down menu When Monitor Silence is selected all the monitors including the alarm sounds will be silenced If a new alarm occurs the monitor will exit the silenced status automatically All the sounds including the alarm sounds will restore their statuses when the Monitor Silence is unselected You can also release the monitor silence status by clicking the ES icon or the Monitor Silence option again You can enable or disable the remote alarm control function on the central station When remote alarm control is disabled the te icon 1s inactive and the Monitor Silence control is not available in the drop down menu in the Multibed screen Refer to 12 2 8 Other Remote Con
81. ds to can be displayed When the resolution is set to Manually Saved all the manually input data such as glucose can be displayed In the graphic trends you can set the desired resolution for reviewing graphic trends Resolution options include 15 min 30 min 1 hour 2 hours 4 hours 8 hours 12 hour 24 hours and 48 hours DPM Central Station Operator s Manual Viewing Parameter Values at a Certain Time By clicking a point in the graphic trends you can place the cursor at that position and view the corresponding parameter values of the cursor time In the tabular trends the cursor time is the same as it is in graphic trends Contrarily if you select a row in the tabular the cursor in the graphic trends will be positioned at the time corresponding to that row You can further position the time at which the cursor is located by clicking these buttons Buttons Graphie Cticking is button wili move the cursor down one line A o Clicking this button will move to the previous tabular page Selecting Trend Group Click the Trend Group drop down list to select the desired trend group to review For details about setting trend groups refer to 12 2 4 Trend Group NOTE Selecting different trend group views in the Trend Review screen shows different trend parameters Refreshing Data Trend data will not update automatically Therefore if you want to view current trend data you ha
82. e central station can view a single patient connected to the target central station in the LAN through the Remote CMS window Through the Remote CMS window you can only view the target monitor rather than setting and controlling the target central station or monitor NOTE eo One central station can be viewed by a maximum of 16 other central stations simultaneously 13 2 Remote CMS Viewbed Window Click the Remote CMS button at the bottom of the screen and enter the Remote CMS window Then select the ViewBed tab The ViewBed screen is shown as below 80 120 80 1 Beds list 2 Patient information area 3 Physiological alarm area 4 Alarm icon area 5 Technical alarm area 6 Button area 7 Waveform area 8 Parameter area Figure 13 1 Remote CMS Viewbed Screen DPM Central Station Operator s Manual 13 1 13 2 1 Beds List The beds list displays the information about all central stations and networked bedside monitors target monitors in the same network segment of an LAN When the Remote CMS screen 1s accessed the central station will automatically list other central stations which can be operated remotely Only when the central stations IP addresses are added in the Communication Settings menu the names of the corresponding central stations will be automatically displayed in the list In the beds list the first level nodes are the unit names of the central stations the second level nodes ar
83. e directory is named Y Y Y YMMDDhhmmbak in which Y Y Y Y refers to the year MM refers to the month DD refers to the date hh refers to the hour and mm refers to the minute 14 2 3 Backup Database After selecting the backup path click the Next button and a dialog box will appear Click the Start button to start database backup If database backup 1s overtime or an abnormal condition occurs during database backup a message will be presented If the backup database is stored on the local hard disk the old backup file will be deleted automatically so that only one backup file is stored on the local hard disk If the backup is stored on the USB disk the old one will not be deleted 14 2 DPM Central Station Operator s Manual 14 3 Recover Database CAUTION o The recovered database will overwrite the current one Make sure whether you need to backup the current database before carrying out database recovery NOTE o If the central station cannot start normally due to database error resulting from abnormal shutoff or improper operation recover the database 14 3 1 Select Operation Type After the Database Backup and Recovery program starts up the dialog box will appear Select Recover Database 14 3 2 Select Path You can recover the database from local hard disk or from a USB disk If you select local hard disk the system will search the correct backup database for recovery on the local ha
84. e en ee ea ee al 6 2 6 2 1 Non Spot Patient WindOw cccccccccssssssssssseseeeeeeeceeeeeeeeecaseasseeeseseseeeeeeeeeseeeeqags 6 2 6 2 2 SPOL Patient WAN OWS estallido 6 3 6 2 3 Patient Window in Monitoring Status oooooooonnncncnnnnnnnnnnnnnnnnnnnononononanoconncnnnnnnnnnos 6 4 6S DEP Tal Abb omen ranean Tey a Oy Una TE a 6 9 6 3 1 Multibed Waveform Setup oooocccccccnnncncncnnnonononononnnnnnnnnnnnnnnononnnnnnnnnnnnnnnnnncnnnnnnnnnss 6 9 6 9 2 Wht Bed Numeric SC sss rca ii tandems inten ca A tea A 6 10 TN MC WS A easeaid E E 7 1 TONCES ias 7 1 Sad ss AP oa E E AT eee 7 2 T2 A ICON PALES ooe EE T E saa eco aemesa greene 7 3 Ta AN A a A A tt Ne Fee 7 4 SA A O eee ants and etna nace eae eee 7 4 Sata meters Up iba 7 4 TA Basic Operations a id 7 5 MIA a a Mr e Me Tre Arey ere 7 5 7 4 2 Resetting Alarms On MOMItors ccccceesssseeeeccceeeeeeeeeaaeeasessseseeeeceeceeeeeeeeeeeeqags 7 5 74 3 silencing a Bedside Mont va iesticisieshoueertiordirediantaatperdeacends lets aati dada 7 5 7 4 4 Pausing Alarms On Monitors cccccssssssssssssseeececcccceeeeeeceaeaesesssseseseeeceeeeeeeeeeaaas 7 5 O 7 6 7 4 6 Controlling a Bedside Monitor to Exit Standby ccccccccccnnnnnnnnooccnonnnccnnncnnnnnnnnnos 7 6 TAJ NIBP MESAS UTE AAA RT A RA 7 6 1 4 9 Preeze UMreeze WAVeLOL AS cai a A A de 7 7 T4 Des NOW PIG AAA A heated slaw Mae ache tun ie 7 7 Tae 10 Show Hide Dynamic Trends iii ide a e ere A 7 7 TAA Pat amie ter Orde sida
85. e restart CMS or contact station to restore database service or contact the the service representative service persomnel The patient storage space is The discharged patient storage space is nearly nearly full Please delete some full Please delete some discharged patients discharged patients DPM Central Station Operator s Manual B 1 The central station alarms displayed in the patient window s technical alarm area are shown in the table below For an already admitted patient its monitor re logs onto the central station after logging off for some reason The central station detects the Patient information conflict patient information 1s inconsistent between itself and the monitor Prompt message will also appear in the Patient Mgmt tab sheet You need to decide which patient information to use The bedside monitor is disconnected from the Offline Low central station network Please check B 2 DPM Central Station Operator s Manual C Units C 1 Units BPM cc cm cmH gt O dB F GB GTT hPa mbar MHz mcg mEq mg min ml mm mmHg Symbols Terms and Formulas beats per minute centigrade cubic centimeter centimeter cmH O decibel Fahrenheit gram giga bytes gutta hour hPa hertz inch kilo kilogram kilopascal litre pound meter minute mega mega bytes mbar mega hertz micrograms mil li equivalents milligrams minute milliliter millimeters
86. e the monitors connected to the central stations Generally the name of the second level node is department bed number and patient name You can select the target monitor to be viewed by selecting the radio button before the second level node or the monitor The background color indicates the status of the target monitor E White indicates that no alarm occurs to the target monitor Red indicates that a high level alarm nurse call or event occurs to the target monitor Yellow indicates that a medium or low level alarm occurs to the target monitor Grey indicates that the target monitor is in standby status Light Grey indicates that the target monitor is offline 13 2 2 Physiological Alarm Area This area is to display physiological alarm messages and relevant text coming from the viewed target monitor circularly The display rule is same as that in physiological alarm area of patient window Please refer to 6 2 3 5 Physiological Alarm Area Different background colors are used to indicate the alarm priorities NW Red indicates that a high level alarm occurs to the target monitor E Yellow indicates that a medium or low level alarm occurs to the target monitor 13 2 3 Technical Alarm Area This area is to display technical alarm messages or prompt messages circularly coming from the viewed target monitor The display rule is same as that in the technical alarm of patient window Please refer to 6 2 3 4 Technical Alarm
87. e used to open or close a list of options You can make a selection from the drop down list Tab Sheet All patients Patient Mgmt Trend Review Alarm Review C O Review 12 lead Review Tab Discharge Date Admit Date Delete Name PatientiD Unit You can switch among the tab sheets by clicking the tab DPM Central Station Operator s Manual 2 9 FOR YOUR NOTE DPM Central Station Operator s Manual 3 Installation and Maintenance 3 1 Unpacking and Inspection Before unpacking examine the packing case carefully for signs of damage If any damage is detected contact the carrier or Mindray If the packing case is intact open the package and remove the equipment and accessories carefully NOTE Please save the packaging materials for later transport or storage use NWARNING eo When disposing of the packaging material be sure to observe the applicable waste control regulations and keep it out of children s reach e Components of the central station such as the keyboard and mouse may be contaminated by microorganism during transport storage and use Before removing them from their packaging the packaging should be inspected for damage In case of any damage contact the carrier or Mindray immediately DPM Central Station Operator s Manual 3 1 3 2 Installation NWARNING o The central station should be installed by manufacturer designated personnel The central station sof
88. ect a color and click OK 12 2 2 Display Setup You can set screen size number of main screen display layout multibed display multibed window layout and auxiliary window Screen Size 1 Click the Display Setup tab 2 Select the display type from the Screen Size drop down menu 3 Click the Close button NOTE The screen size setting change will take effect after the central station restarts The central station supports up to four 4 displays at one time It will check the number of displays every time it starts When more than one display is used simultaneously they should adopt the same screen size and resolution To ensure the normal operation of the central station you should select the screen size of the display actually used and the display resolution should be set to 1280 x 1024 pixels Setting resolution to other pixels may cause a display error Number of Main Screen Display Layout 12 4 Select a number for the item Number of Main Screen to change the displaying mode if the central station is equipped with two 2 displays m If 1 is selected there is only one main screen which always displays the multibed screen The other display is the auxiliary screen always for single bed window and system menu m If 2 is selected the two screens are both able to be used as the main screen If you want to view a single bed the single bed window will be shown in the a
89. ectrocardiograph End diastolic volume Energy expenditure European Economic Community Electromagnetic compatibility Electromyograph Electronic Medical Record Enflurane DPM Central Station Operator s Manual C 3 ABBREVIATION Et EtAA EtAA 2nd EtDes EtSev EtEnf Etlso EtHal EtCO EtN20 EtO EVLW ELWI Exp Exp Flow Exp MAC f fapnea fCMV FEV 1 0 FG Fi FiAA FiAA 2nd FiCO FIN20 FiO FiDes FiSev FiEnf Filso FiHal fmand FRC FreqMIN fSIMV C 4 DEFINITIONS End tidal End tidal anesthetic agent 2nd Exp Agent End tidal anaesthetic agent End tidal anaesthetic agent End tidal anaesthetic agent End tidal anaesthetic agent End tidal anaesthetic agent End tidal carbon dioxide End tidal nitrous oxide End tidal oxygen Extravascular lung water Extravascular lung water index Inspiration termination level Expiratory flow Expired minimum alveolar concentration Breath rate Breath rate for apnea ventilation CMV frequency First second forced expiratory volume ratio Fresh gas flow Fraction of inspired Inspired anesthetic agent 2nd Insp Agent Fraction of inspired carbon oxygen Fraction of inspired nitrous oxide Fraction of inspired oxygen Inspired anesthetic agent Inspired anesthetic agent Inspired anesthetic agent Inspired anesthetic agent Inspired anesthetic agent Mandatory breathing frequency Fractional residual capacity Minimum breath frequency Frequency of SIMV DPM Central Station Op
90. elect a disk driver name and click OK The waveforms currently displayed on the screen will be saved to the selected storage disk C O Review 1 Enter the C O Review tab sheet 2 Select the C O measurements to be saved per 9 1 4 C O Review 3 Click the Save As button The Save As dialog box will be displayed 4 Select a disk driver name and click OK The currently selected C O measurements will be saved to the selected storage disk Event List Review l Zi Enter the Event Review tab sheet Select Filter by Event and Filter by Priority Click the Save As button below the event list The Save As dialog box will be displayed Select a disk driver name and click OK The contents in the event list will be saved to the selected storage disk Event Review 11 20 Enter the Event Review tab sheet Select an event from the event list Click the Save As button below the event parameter area The Save As dialog box will be displayed Select a disk driver name and click OK The waveforms and parameters of the event will be saved to the selected storage disk DPM Central Station Operator s Manual Drug Calculation l 2 3 4 Enter the Drug Calcs tab sheet Perform drug calculation per 10 1 Drug Calculation Click the Save As button The Save As dialog box will be displayed Select a disk driver name
91. emo Calcs tab sheet from a C O review window the system will take the average C O and C I corresponding to that C O review window as the inputs of the hemodynamic calculation 9 1 4 2 Operation In the C O Review window you can mM Select measurements Delete a set of measurements Print Record Save as For details about record print and save as refer to 11 Record Print and Save as Selecting measurements The time corresponding to each measurement is listed in the Measure results list from which you can select up to 6 measurements To the right of the Measure results list there are six 6 C O review windows displaying the C O curves and parameter values measured at six 6 different times Click in a C O review window The border of the window will highlight in blue when it is selected Deleting a set of measurements 1 Select the time or C O review window corresponding to the measurement you want to delete 2 Click the Delete button and a dialog box for you to confirm the deletion will pop up 3 Select Yes to delete the measurement 9 14 DPM Central Station Operator s Manual 9 1 5 Event Review 9 1 5 1 Overview Clicking the Event Review tab will enter the following tab sheet through which you can view all event parameters and waveforms of a patient ZKD Xx x xX37 2X 1 Event list 2 Event parameter area 3 Event waveform area Figure 9 4 Event
92. entral stations Network connections consist of hardwired network cables and or wireless LAN WLAN connections The central station can be used for remote monitor management storing printing reviewing or processing of information from networked devices and it is operated by medical personnel in hospitals or medical institutions NWARNING The device is intended for use by qualified physicians or well trained clinicians in the specified places Anyone unauthorized or untrained must not perform any operation on it The physiological waveforms parameters and alarms displayed on the screen of the central station are for reference only and camnot be directly used as the basis for clinical treatment If any value displayed on the central station screen is abnormal or questionable first determine the patient s vital signs by alternative means and then verify that the central station or corresponding monitor or telemetry transmitter is working correctly 2 2 Application Scope of the Manual If defibrillators are connected to the central monitoring system the following sections of this manual may not be applicable 5 1 1 D2 5 4 7 3 7 4 1 7 4 2 7 4 3 7 4 4 7 4 5 Admitting Patient through Central Station Admitting Patient through the Monitor Modifying Patient Information Parameter Setup Alarm Setup Resetting Alarms on Monitors Silencing a Bedside Monitor Pausing Alarms on Monitors Standby DPM Centr
93. equence will be updated in the followings NW The display in 12 lead review The realtime display in multi lead ECG screen 12 lead analysis waveform report 12 lead analysis waveform strip The XML file of 12 lead analysis waveform 12 lead ECG report Multi lead ECG report 12 6 DPM Central Station Operator s Manual Auxiliary Window Setup Auxiliary window setup means to set the tab sheets on the single bed window The six functional items of patient management ViewBed waveform review trend review event review and display setup are fixed to be selected while OxyCRG review ST review 12 lead review C O review drug calculation hemodynamic calculation OxyCRG calculation renal calculation and ventilation calculation are user selectable You can change the display order of the functional items via the Move Up Move Down Move First and Move Last buttons on the right side of the dialog box After the functional items are set click OK to activate the setting 12 2 3 Alarm Click Alarm to open a dialog box Set Minimum Alarm Volume The minimum alarm volume level can be set from 0 to 10 Switch On Off Reminder Tone and Set its Interval The Reminder Tone can be set to On or Off When it is set to On in the status of central station system silence or audio alarm off the central station can give a reminder tone in case of an active alarm condition When it 1s set
94. erator s Manual ABBREVIATION fsigh fspn ftot F Trigger FV GEDV GEDI GEF HAL Hb Hct HR IBP IBW ICP ICU ID LE IEC Insp Flow Insp MAC Aint PEEP Ins INS InsCO IP ISO ITBV ITBI ITE LAP LCD LVD M Mean Mac MAC Min Vol MV DEFINITIONS Sigh rate Spontaneous breathing frequency Total breath rate Inspiratory trigger level flow trigger Flow volume Global end diastolic volume Global end diastolic volume index Global ejection fraction Halothame Hemoglobin Haematocrit Heart Rate Invasive brood pressure Ideal body weight Intracranial pressure Intensive care unit Identification Inspiratory time Expiratory time ratio International Electrotechnical Commission Inspiration flow Inspired minimum alveolar concentration Intermittent PEEP Inspired minimum Inspired minimum carbon dioxide Internet Protocol Isoflurane Intrathoracic blood volume Intrathoracic blood volume index Information technology equipment Left artria pressure Liquid crystal display Low voltage directive Mean pressure Minimal alveolar concentration Percentage of minute volume to be delivered Minute volume DPM Central Station Operator s Manual C 5 ABBREVIATION MVe MVLEAK N20 N20 cyl N20 Flow N A NIBP NIF O AO O ClI O cyl O cyl 2nd O Flow oxyCRG PO 1 PA PA MAP Pair PaO2 PaCO Papnea Paux Mean Paux Min Paux Peak pArt M pArt D pArt S PC pCVP Pe
95. es and give alarm tones accordingly o When the system is set to Silence sounding alarm tones is disabled In case of a new alarm the silenced state will be released automatically You can also release the silenced state manually For details refer to 8 9 Central Station System Silence o In the General Setup screen of System Setup when the alarm volume is set to 0 the central station alarm sound is turned off and the central station will switch off the alarm tone permanently and give no audible alarm even if a new alarm occurs Be careful when configuring the alarm volume to 0 8 2 2 Reminder Tone 8 2 When the central station is silenced or audio alarms are off the central station can provide a reminder tone in case of an active alarm condition The reminder tone is the same as the highest alarm tone You can set the reminder volume in the General Setup tab sheet You can set the reminder interval and switch on off the reminder tone in the Admin Setup menu DPM Central Station Operator s Manual 8 2 3 Alarm Messages The central station alerts the users by giving alarm messages in the physiological or technical alarm area Before the alarm messages asterisks are used to indicate different alarm priorities NW High priority alarms triple asterisks E Medium priority alarms double asterisks NW Low priority alarms single asterisk When alarms
96. et the auto shrink database 1 Click the Auto Shrink Database button 2 Input the preset time for auto database shrink 3 Click OK 12 2 8 6 Gateway Communication Setting NOTE o Settings in the following Tabs should not be changed except by trained Service Personnel When the central station is configured with eGateway the Gateway communication setting menu provides three 3 tabs which are Network Setup Authorization Setup and Service Setup DPM Central Station Operator s Manual 12 15 E Network Setup The Network Setup tab sheet lists the information about the network adapters configured on the central station One of the network adapters is for internal communication within the central station and beside monitors the other network adapter is for inter communication between the central station and other systems Select and activate one network adapter the communication between the central station and other systems is established To activate a network adapter 1 Select the network adapter type to be activated 2 Select one IP address as required if there are multiple IP addresses in the IP Address area on the right 3 Click OK When a network adapter has been activated the network card type and IP address background color is light gray E Authorization Setup The central station Authorization Setup menu lists the departments and bed numbers of all bedside monitors
97. fference Pa FiO mmHg Oxygenation Ratio 100 x PaO FiO Arterial to Alveolar Oxygen a AO2 we 100 x PaO PAO atio Volume of Physiological Vd ml TV x 1 PeCO PaCO Dead Space Physiologic Dead Space in Vd Vt 100 x Vd TV Percent of Tidal Volume VA L min Alveolar Volume TV Vd x RR 1000 Renal Calculations Renal Caleulations O OO a Ucr x Urine Cr BSA 1 73 Clcr ml min Creatinine Clearance Rate 1440 Fractional Excretion of 100 x CURNa x Cr SerNa x FENa Sodium Ucr Cosm ml min Osmolar Clearance Uosm x Urine Posm 1440 CH2O ml h Free Water Clearance Urine x 1 Uosm Posm 24 DPM Central Station Operator s Manual C p Blood Urea Nitrogen BUN Cr o 1000 x BUN Cr Creatinine Ratio Urine Serum Creatinine U Cr Ucr Cr Ratio Oxygenation Calculations Calculated Oxygen VO2 calc ml min C a v O gt x C O Consumption Arteriovenous Oxygen C a v O ml L CaO CvQ Content Difference OER Oxygen Extraction Ratio 100xC a v O gt CaO DO ml min Oxygen Transportation C O x CaO FiO 100 x CATMP 47 PAO mmHg Alveolar Oxygen Level PaCO x FiO2 100 1 FiO 100 RQ Alveolar arterial Oxygen AaDO mmHg PAO PaO Difference CcO ml L Capillary Oxygen Content Hb x 1 34 0 031 x PAO 100x 1 34 x Hb x 1 SaO 100 0 031x PAO Qs Qt Venous Admixture Pa0 1 34 x Hb x 1 SvO j 100
98. follows 5 10 Transfer the patient to the destination bed Combine the patient data at source bed with the data at destination bed DPM Central Station Operator s Manual 6 Multibed Screen 6 1 Overview The multibed screen of the central station displays as follows xx 98 No NN XX N x xX 60 x oe Pea cee Peas eae L Patient gt ee 4 x l hA AAAA 60 Window NR K X cas 98 AA e e XX AANA 60 Xx Xx a 98 Non spot AA AAA E oS I Patient AAA A Pe I 60 y Window Figure 6 1 Multibed Screen Each screen of the central station can display up to 16 patient windows If the number of bedside monitors connected to the central station 1s no more than the maximum number of patient windows all the patient windows can be used for spot observation 1f not the last patient window will be used for non spot observation The patient windows used for spot observation will be hereinafter referred to as the spot patient windows and their bed numbers and patients respectively as the spot bed numbers and spot patients Likewise the patient windows used for non spot observation will be hereinafter referred to as the non spot windows and their bed numbers and patients respectively as the non spot bed numbers and non spot patients In single screen mode you can view 16 patients on the spot at one time in dual or multi screen mode you can view 32 patients on the spot at one time The number of the patie
99. form area 6 Parameter area Figure 6 2 Patient Window in Monitoring Status When a telemetry system is connected relevant telemetry icons will appear on this screen 6 2 3 1 Bed Mark You can modify bed number and bed mark color on the patient management screen to help identify the specific bed For details refer to 5 4 Modifying Patient Information 6 4 DPM Central Station Operator s Manual 6 2 3 2 Drop down Menu Button Clicking this button will open a drop down menu in which you can perform these operations Monitor Silence In the normal status you can select it to silence current bedside monitor In the case that the bedside monitor is silenced you can select it to reactivate the bedside monitor s audible prompts Alarm Reset You can select it to acknowledge the ongoing monitor alarms and the corresponding patient window on the central station Please refer to 8 6 Resetting Alarms Alarm Pause In the normal status mode you can select it to pause all alarms for the current patient for a configurable time period The default alarm pause time at the patient monitor is 2 minutes During the alarm pause you can select it to reactivate the paused alarms Standby Ifatelemetry transmitter is connected and is in the normal status mode you can select Standby to stop displaying analyzing storing or recording the current patient s physiological waveforms and data and to disable all alarms and sounds T
100. he Battery icon and Signal icon remaining on the screen Ifatelemetry transmitter is in Standby mode you can select Standby to resume the normal status mode Ifa bedside monitor is connected selecting Standby removes the bedside monitor from the Standby mode Freeze In the normal status mode you can select Freeze to stop the dynamic waveforms with freeze time and time scales displayed in the waveform area In the frozen status clicking Freeze will restore the dynamic waveforms Print You can select it to start real time printing Record You can select it to start real time recording ViewBed You can select it to enter the ViewBed tab sheet Discharge Patient You can select it to open the Discharge dialogue box Patient Mgmt You can select it to enter the Patient Mgmt Tab sheet Display Setup You can select it to enter the Display Setup tab sheet Alarm Setup You can select it to enter the Alarm Setup tab sheet Big Numerics In Big Numerics screen major parameters are displayed in big numerics for better viewing In this case you can switch to normal screen by selecting Normal Screen from the drop down menu Privacy Mode Open the Multibed menu select and set current bed or all beds to Privacy Mode DPM Central Station Operator s Manual 6 5 Night Mode Open the Multibed menu select and set current bed or all beds to Night Mode and choose whether
101. he relevant wave stored from the Related Waveform when the alarm occurred 3 Click Save to save the selected wave 4 Click Default to restore all parameters to the default configuration NOTE o No matter how many waveforms are selected from the Related Waveform list the system can at most save three 3 waveforms and record two 2 waveforms for one parameter when an alarm occurs eo Your selections are only effective for later alarms For already existing alarms it is unnecessary to re select waveforms 12 2 4 Trend Group You can set the parameters in Trend Review by group The Trend Group tab sheet contains a system default trend groups list and a custom trend groups list and the list of corresponding trend group member parameters also The system provides 9 default trend groups which are All Standard ECG GAS Hemodynamic RM BIS Ventilator and Anesthesia You cannot edit the default trend groups 12 8 DPM Central Station Operator s Manual NW Create trend group click New Group and enter the name of custom trend group in the pop up dialog box NW Edit trend group after selecting custom trend group you can select deselect the member parameters or adjust the order of member parameters in the list NW Save trend group after creating or editing trend group click Save Group to save the new or modified trend group
102. hic currently displayed on the screen will be saved to the selected storage disk Tabular Trends 1 Enter the Trend Review tab sheet 2 If graphic trends are currently displayed on the screen click the Tabular button 3 Click the Save As button A dialog box will be displayed 4 Select a time range and click OK The Save As dialog box will be displayed NOTE o The system will save the data within the time range prior to save the start time 5 Select a disk driver name and click OK The data in the tabular trends will be saved to the selected storage disk Full Size Waveform Review 1 Click the Waveform Review tab sheet If compressed waves are displayed click the Full Size button in the lower right corner of the screen 2 For operation details refer to 9 1 3 Waveform Review DPM Central Station Operator s Manual 11 19 3 4 Click the Save As button The Save As dialog box will be displayed Select a drive and click OK The waveforms currently displayed on the screen will be saved to the selected storage disk Compressed Waveform Review 1 Click the Waveform Review tab sheet If full size waveforms are displayed click the Compressed button in the lower right corner of the screen 2 For operation details refer to 9 1 3 Waveform Review 3 Click the Save As button The Save As dialog box will be displayed 4 S
103. highlighted when the window is selected Clicking again will enter a tab sheet Take the ECG module as an example you can set the HR alarm switch limit and priority 8 4 DPM Central Station Operator s Manual NOTE When you select the checkbox before Alarm Setup in Remote Control Settings menu the parameter alarm switch settings limit and level are controlled bidirectionally For example if the parameter alarm switch is set to Off the parameter alarm switch will change to Off on the monitor Refer to 12 2 8 Other for the details of remote alarm setup When you change the alarm limits of the monitor via the central station make sure that the alarm limits settings are appropriate for your patient Setting alarm limits to extreme values may cause the alarm system to become ineffective NW Default Click this button to restore central station related settings to factory default W Alarm Setup Click this button to enter the Alarm Setup tab sheet Refer to section 8 4 2 Alarm Setup Tab Sheet Alarm Setup Tab Sheet for details For telemetry transmitter the parameter setup tab sheet is different For details refer to the manual of telemetry monitoring system 8 4 2 Alarm Setup Tab Sheet Clicking the A icon in the ViewBed screen will enter the Alarm Setup tab sheet where you can set parameter alarms arrhythmia alarms arrhythmia alarm threshold and other alarm settings 8 4 2 1
104. ical ST segments by clicking any position in the parameter trend area Setting Reference ST Segment When viewing real time ST segments click Set as Ref to set the real time ST segment to reference ST segment When viewing historical ST segments click Set as Ref to set the ST segment located at the historical cursor to the reference ST segment Selecting Reference ST Segment You can click the Change Ref button to set the reference ST segment located at the reference cursor to the current reference ST segment Deleting Reference ST Segment You can click the Delete Ref button to delete the reference ST segment located at the reference cursor DPM Central Station Operator s Manual 9 21 Setting Waveform Speed You can click the Sweep Speed drop down list to set different waveform speeds The time scale in the ST segment area is related to the waveform speed set The greater the waveform speed the smaller the time scale Setting Trend Parameter You can click the Trend Parameter drop down list to select two different trend parameters and Zoom drop down list to set different time lengths The parameter trend data is not refreshed automatically You can click the Refresh button and set start time in the pop up window and then click OK to read the data again NOTE e There is no data displayed in the trend parameter area when viewing real time ST segments 9 2 Discharge
105. if not avoided could result in death or serious injury CAUTION eo Indicates a potential hazard or unsafe practice that if not avoided could result in minor personal injury or product property damage NOTE eo Provides application tips or other useful information to ensure that you get the most from your product DPM Central Station Operator s Manual 1 1 1 1 1 Warnings 1 2 NWARNING The device is intended for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use Anyone unauthorized or untrained must not perform any operation on it The physiological waveforms parameters and alarms displayed on the central station screen are for doctor s reference only and cannot be directly used as the basis for clinical treatment Before giving invasive treatment to a patient you must go to the corresponding monitor to confirm the results you have obtained from the central station If any value displayed on the screen of the central station is abnormal or questionable first determine the patient s vital signs by alternative means and then verify that the central station or monitor is working correctly The central station is a clinical information device Except for using such components as the mouse and keyboard to perform normal operations do not touch or disassemble any other component especially the power component otherwise
106. improper operation or repair by unqualified or unauthorized service people Malfunction of the instrument or part whose serial number is not legible enough Others not caused by instrument or part itself DPM Central Station Operator s Manual Company Contact VI Manufacturer Address Website E mail Address Tel Fax Distributor Address Tel Website Shenzhen Mindray Bio Medical Electronics Co Ltd Mindray Building Keji 12th Road South High tech industrial park Nanshan Shenzhen 518057 P R China www mindray com service mindray com 86 755 81888998 86 755 26582680 Mindray DS USA Inc 800 MacArthur Boulevard Mahwah New Jersey 07430 USA 1 800 288 2121 1 201 995 8000 www mindray com DPM Central Station Operator s Manual Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety This manual is based on the maximum configuration and therefore some contents may not apply to your product If you have any question please contact Mindray This manual is an integral part of the product It should always be kept close to the equipment so that it can be obtained conveniently when needed Intended Audience This manual is geared for clinical professionals
107. in You can enable or disable the remote alarm control function on the central station When remote alarm control is disabled the B icon is inactive and the Alarm Pause control is not available in the drop down menu in the multibed screen Refer to Section 12 2 8 Other to see how to enable or disable the remote alarm control function 8 6 Resetting Alarms For the monitors supporting bidirectional control of alarm reset you can reset the alarms through following ways E Inthe central station ViewBed screen click the Alarm Reset icon EN NW Inthe Multibed screen you can right click when the cursor is in the window where the patient needs the setting of Alarm Reset or select the option Alarm Reset in its drop down menu When the alarm is reset the alarm message in the corresponding central station patient window has the following behaviors NW For physiological alarms except NIBP related alarms a Y appears before the alarm message NE For some technical alarms a Y appears before the alarm message after the alarm is reset NW For some technical alarms the alarm message changes to a prompt message after the alarm is reset NW For some other technical alarms the alarm message is cleared after the alarm is reset As for the monitor s alarm behaviors after resetting alarm please refer to the monitor s operator s manual DPM Central Station Operator s Manual 8 7 You can enable or
108. in the Communication Settings menu should not be changed except by trained Service Personnel Multi CMS Communication Settings Add or delete the IP address of other central stations in the Multi CMS Communication Settings area You can view other beds on that central station only when the corresponding IP address of a central station is added To add a central station I Select the Communication Settings button and open the Communication Settings menu Select Add button and then input the IP address of a central station on which you want to proceed viewing other beds in the opened dialog box Select OK To delete a central station l Click the Communication Settings button and open the Communication Settings menu Select one central station IP address and then select Delete button Select OK Bedside Monitoring Network Settings Set the central station IP Address multicast mode and broadcast mode 12 18 CMS IP Address In the drop down list select the IP address of the network adapter which is for internal communication within the central station and beside monitors Multicast Mode When the bedside monitor is configured with multicast mode if select Multicast Mode the central station can detect the bedside monitor The bedside monitor will appear in the Monitor List menu of System Setup and be ready to be admitted Broadcast M
109. internal communication within the current central station and the other is for inter communication between the central stations The typical configuration is shown below Current central station A Target central station B Target central station C Network Network Network Network Network Network adapter Al adapter A2 adapter B1 adapter B2 adapter Cl a C2 196 76 0 X1 168 168 4 X2 196 76 0 Y1 168 168 4 Y2 196 76 0 Z1 168 168 4 22 168 4 Z2 As shown in the table above network adapter Al B1 and Cl are used for the communication between the central station and the monitors Their IP addresses are in the same network segment with the IP addresses of respective monitors Network adapter A2 B2 and C2 are used for the inter communication between the central stations Their IP addresses belong to the same network segment and X2 Y2 and Z2 shall be different NOTE The IP address shall be set by authorized personnel o Ifa central station needs to implement the Remote CMS function on another CMS the IP address of another central station has to be added into it Please refer to 12 2 8 7 Communication Settings for details 13 4 2 Setting the Network Card for Remote CMS A central station is configured with two network cards one for the central station internal communication and the other for remote central stations When the network card for remote central station is activated the network card type and IP address background c
110. ischarged Pat window of other central stations after he is discharged 9 24 DPM Central Station Operator s Manual 1 0 Calculation 10 1 Drug Calculation Clicking the Drug Calcs tab will enter the tab sheet The Calculated Results List shows the time corresponding to a maximum of 73 calculations The drug parameter area 1s for you to enter parameter values and to display calculations The titration table is to show titrated results The button area contains the following buttons Calc Save Results Delete Record Print Save As For details about Record Print and Save as refer to chapter 11 Record Print and Save as DPM Central Station Operator s Manual 10 1 Calculate From the Name drop down list below you can select one of the choices listed to calculate 1ts amount liquid volume concentration etc Drug A Drug B Drug Drug D Drug E AMINOPHYLLINE DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL LIDOCAINE NIPRIDE NITROGLYCERIN PITOCIN NOTE Drug A through Drug E are user defined drugs Procedure 10 2 To make a calculation l Ze Confirm whether the patient type and weight entered are correct Select a drug to be calculated The system will automatically give a set of values Do not use these calculations Instead input correct parameter values under the direction of a physician Select Reference Step and Dose Type for titration
111. isplay order settings can be saved NOTE When a patient is discharged the parameter order configuration is saved The parameters will be displayed using the same default configurations when a new patient is admitted eo If you discharge a patient and set the bed to an idle sector the parameter order configuration is cleared and the waveform configuration restores to the system defaults 7 4 12 Record Clicking the ll icon will open the Record dialog box where you can select up to two waveforms If the recorder is unusable or no recorder is connected this icon is disabled In the frozen status the recorded waveforms and parameters are the waveforms and parameters recorded at time of freezing but not at current time Please refer to 11 1 3 Recording Control about the settings of recording general options 7 4 13 Print Printing in Real time 7 8 Click the g icon and the Print Setup dialog box will pop up In this dialog box you can select the waveforms to be printed If the printer is unusable or no printer is connected this button will be disabled Please refer to 11 2 4 Printing Control about the general printing options settings DPM Central Station Operator s Manual Printing 12 Lead ECG When performing 12 lead ECG monitoring and 12 lead ECG analysis using a bedside monitor you can press the E icon to display the 12 lead ECG waveforms Then click the icon the Print Setup dialog b
112. its or DOSE kg min DOSE hr kg 60 mEq Drip Rate GTT min Drip Rate DURATION Infusion Rate x Drop Size 60 Duration hr Liquid Volume Rate Hemodynamic Calculations Abbreviation and Unit Description Formula BSA m CI L min m SV ml SVI ml m SVR DS cm Body Surface Area wt xHt x 0 007184 C O BSA C O HR x 1000 Stroke Volume Index SV BSA Systemic Vascular 79 96 x AP MAP CVP Resistance Cardiac Index Stroke Volume SVRI DS m cm Systemic Vascular SVR x BSA Resistance Index Pulmonary Vascular 79 96 x PAMAP PAWP Resistance PVR DS cm PVRI DS m cm Pulmonary Vascular PVR x BSA Resistance Left Cardiac Work 0 0136 x AP MAP x C O Left Cardiac Work Index LCW BSA Left Ventricular Stroke Work 0 0136 x AP MAPx SV LVSW BSA LCW kg m LCWI ke m m LVSW g m LVSWI g m m Q Q Left Ventricular Stroke Work F DPM Central Station Operator s Manual CIS RCW kg m Right Cardiac Work 0 0136 x PA MAP x C O RCWI kg m m Right Cardiac Work Index RCW BSA Right Ventricular Stroke RVSW g m 0 0136 x PA MAP x SV Work a Right Ventricular Stroke RVSWI g m m RVSW BSA Work Index Ventilation Calculations FiO2 100x CATMP 47 PAO mmHg Alveolar Oxygen Level PaCO x Fi0 gt 100 1 FiO 100 RQ Alveolar arterial Oxygen AaDO mmHg PAO2 PaO Di
113. l time arrhythmia alarm recording E Print On Alarm Switch on off the real time arrhythmia alarm printing NOTE o Ifa bedside monitor is connected and the Lethal Arrh Off item in its Admin Setup menu is set to Disable the All Alarm Off button in the arrhythmia alarm settings of the central station is inactive o Ifa telemetry monitoring system is connected and the Lethal Arr Off item in the Telemetry sheet under Admin Setup menu is set to Disable the All Alarm Off button in the Arrhythmia Alarm of the central station is inactive 8 4 2 3 Setting Arrhythmia Threshold The threshold for PVCs high limit tachycardia and others can be set in the Arrh Threshold Setup sheet 8 4 2 4 Others In the Others tab sheet the alarm latch can be set here Please refer to 8 8 Latching Alarms for details 8 6 DPM Central Station Operator s Manual 8 5 Pausing Alarms For the monitors supporting bidirectional control of alarm pause you can click the Alarm Airs P sh Pause icon in the ViewBed screen or Alarm Pause in the drop down menu in the multibed screen to pause all alarms of current monitor for a period of time which can be set on the monitor After alarm pause time ends the system will automatically release the alarm Ay l pause You can also release the alarm pause by clicking the icon or Alarm Pause in the drop down menu aga
114. lays the patient s name above the first waveform E When one or all lethal arrhythmia alarms are set to off a message of Lethals Off will be displayed under the first ECG waveform E When the nurse call and or event function of the telemetry system is switched off a message will display the status under the first ECG waveform NW Ifa patient s paced status has not been set on the monitor the icon will flash in the waveform area when a pacer pulse is detected Click the icon the Patient Mgmt sheet will pop up The Paced configuration can be configured here E For telemetry displays the Nurse Call icon and the Event icon El 6 2 3 7 Parameter Area This area is to display parameter values transmitted from the monitor The ES 1con beside the parameter indicates that parameter alarms are turned off 6 2 3 8 Telemetry Icons The following icons are visible only for telemetry transmitters Icon name Icon Description After the Nurse Call button is pressed on the transmitter the Nurse Call icon will continuously flash and a corresponding prompt tone will sound The prompt tone will automatically terminate after two beeps If you click this icon it will be cleared and the prompt Nurse Call tone will stop An auto recording will be triggered if the Nurse call s record switch is set to ON in Alarm Setup menu The nurse call will be stored in Event Review Please refer to 9 1 5
115. le of saving 100 calculations for each patient To save calculations you can click the Save Results button after the calculation is finished DPM Central Station Operator s Manual 10 7 Delete NOTE If you continue to perform the Save Results operation when the number of calculations exceeds 100 the system will delete the earliest calculation and its corresponding time from the Calculated Results List before saving the new one To delete unnecessary or incorrect calculations l 2 3 Select the time corresponding to the calculation you want to delete from the Calculated Results List Click the Delete button below the Calculated Results List Select Yes in the message box The calculation will be deleted 10 5 Renal Calculation Clicking the Renal Calc tab will enter the tab sheet The Calculated Results List shows the time corresponding to a maximum of 100 calculations The Input Item area allows you to enter parameter values and the Calculated Results area is to display calculations In this tab sheet you can Calculate Save results Delete Print Record Save as For details about Record Print and Save as refer to Chapter 11 Record Print and Save as 10 8 DPM Central Station Operator s Manual Calculate To calculate a value 1 Input parameter values needed into the Input Item area 2 Click the Calc bu
116. ll appear on the waveforms During dragging if you move the mouse horizontally the right arm will be moved accordingly if you move the mouse vertically the measurement line will be moved accordingly 4 5 1 2 3 1 Left arm 2 Measurement line 3 Right arm 4 Current cursor 5 Real time measurement When a caliper is formed you can adjust the caliper by the following operations to measure the time difference between any two points When the cursor is positioned at caliper arm and the cursor turns to gt you can horizontally move the arm When the cursor is positioned at measurement line and the cursor turns to T you can vertically move the measurement line DPM Central Station Operator s Manual 9 9 When the cursor is positioned between the two arms and the cursor turns to f you can move the whole caliper In waveform area right click mouse and select PR QRS RR or QT in the pop up menu The corresponding measurement will be shown above the first ECG waveform In the caliper measurement area the above mentioned value can be acquired also Refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Review Screen for additional information of caliper measurement area NOTE eo The current caliper measurements can be manually saved as an event o The waveform review does not include caliper measurements ECG Waveform Gain You can set the ECG waveform gain in the wavef
117. ll enter a tab sheet where you can configure the Multibed Waveform Setup and Multibed Numeric Setup for the current patient window 6 3 1 Multibed Waveform Setup On the left of the Display Setup tab sheet you can designate which waveforms are to be displayed in the current patient window NW By selecting the checkbox before the waveform name you can select or deselect this waveform Only the selected waveforms can be displayed in the current patient window NW By selecting the waveform speed beside the waveform name you can have a list of available wave speeds 1 e 6 25 mm s 12 5 mm s 25 mm s and 50 mm s from which you can select either DPM Central Station Operator s Manual 6 9 Select a waveform by clicking on its name and change its order by clicking Move First Move Up Move Down or Move Last Waveform displaying order can be saved When monitoring ECG with the monitor the monitored lead is optional If you are monitoring with a 3 lead set you can select any one lead to be displayed in one channel If you are monitoring with a 5 lead set you can select any two or three leads to be displayed If you are monitoring with a 12 lead set you can select up to eight leads to be displayed For details refer to the bedside monitor s operator s manual When monitoring ECG with the telemetry transmitter the monitored lead is fixed With a 3 lead set you can only monitor le
118. low the Calculated Results List 3 Select Yes in the message box The calculation will be deleted 10 6 DPM Central Station Operator s Manual 10 4 Ventilation Calculation Clicking the Ventilation Calc tab will enter the tab sheet The Calculated Results List shows the time corresponding to a maximum of 100 calculations The Input Item area allows you to enter parameter values and the Calculated Results area is to display calculations In this tab sheet you can NW Calculate Save results Delete Print Record Save as For details about Record Print and Save as refer to chapter 11 Record Print and Save as Calculate To calculate a value 1 Input parameter values needed into the Input Item area 2 Pressure unit can be changed by scrolling the drop down list at the right side of Press Unit Pressure values will automatically change and refresh accordingly 3 Click the Calc button The calculations of other parameters will be displayed in the Calculated Results area Parameter values which are beyond the normal range will be displayed on a yellow background NWARNING o Be sure to input correct parameter values The user must verify the correctness of the calculations displayed on the screen before using them We assume no responsibility for the results arising from incorrect inputs and operations Save Results The central station 1s capab
119. me bar the time corresponding to the cursor location will appear above the time bar By clicking the mouse you can confirm the time to which the current cursor corresponds In addition you can further adjust the black line by using these buttons and the waveform will also move accordingly o Clicking it will move the black line to the leftmost 1 e the review start time 9 8 DPM Central Station Operator s Manual o EN Clicking 1t will move the black line left so that the waveforms in the waveform area move left at the length of one screen o EN Clicking 1t will move the black line left in short increments o gt Clicking 1t will move the black line right in short increments Clicking it will move the black line right so that the waveforms in the waveform area move right at the length of one screen o gt l Clicking it will move the black line to the rightmost 1 e the review end time E Waveform Area This area is to display the waveform strips over a specific period Click in the waveform area and the grey triangles on the top of and at the bottom of the waveform area will appear indicating the current time corresponding to the cursor location Caliper Measurement Left click the mouse at a place in the waveform area and then hold it down while dragging the cursor until your desired location is reached During dragging a caliper with two arms and a middle measurement line marking the real time measurement wi
120. n waveform review and event Frequency review 80 Hz ECG waveform sampling Export in 12 lead analysis review 256 Hz ve Amplitud characteristics 19 5313 uV LSB resolution 1 For more information please contact Mindray The CIFS protocol is from Windows Operating System A 4 DPM Central Station Operator s Manual B Central Station Alarms The central station alarms displayed in the system alarm area on the upper screen are shown in the table below Alarms Cause and solution Printer is off line Low Connection between printer and computer may DE Nerea Printer paper is jammed Low Change the paper and then restart the printer and printing task Low ow Recorder PaperJam Low Reload tne paper Recorder is Too Hot Low The recorder has worked for a long time Wait until it cools down Recorder Self check Error CPU Restart the recorder Recorder Self check Error Med a Recorder Self check Error Med oe Recorder Self check Error Med WatchDog Recorder Not Available Med Med Recorder S Communication Med Check the connection cable of recorder serial Error a Network is disconnected Please High Check the network check ee Network is not configured or High Check the network configuration of the central O A No bed is online Please check High Check whether the patient monitor has connected pa oie Database service is abnormal Database service has an error Restart the central Pleas
121. ng any non standard accessory attachments or by any customer modification voids this warranty Mindray makes no warranty whatsoever in regard to trade accessories such being subject to the warranty of their respective manufacturers A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when authorized freight prepaid to Mindray DS USA Inc Mahwah New Jersey 07430 or its authorized representative Mindray shall not have any responsibility in the event of loss or damage in transit DPM Central Station Operator s Manual Exemptions Mindray s obligation or liability under this warranty does not include any transportation or other charges or liability for direct indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel This warranty shall not extend to Malfunction or damage caused by improper use or man made failure Malfunction or damage caused by unstable or out of range power input Malfunction or damage caused by force majeure event such as 1 flood fire and earthquake or other similar elements of nature or acts of God 11 riots war civil disorders rebellions or revolutions in any country or 111 any other cause beyond the reasonable control of Mindray Malfunction or damage caused by
122. ngly by description Priority Clicking it will sort all alarms ascendingly or descendingly by level At the same time one of the following symbols will appear to the left of the heading for ascending sequence and for descending sequence By default all events are sorted in descending order by time Making Selection You can select single multiple or all events in event list Select one event Click one event you wish to select Select multiple events You can select more than one event with the Ctrl or Shift keys Select the first event and then press and hold the Ctrl key While holding down the Ctrl key select each of the other events you wish to select This will select multiple events that are not grouped together Select the first event and then press and hold the Shift key While holding the key down click the last event This will select all the events in between the first and last event Select all events Click any event in the list and then press the Ctrl A keys on the keyboard together and then all the events in the event list will be selected DPM Central Station Operator s Manual 9 17 Locking and Unlocking Events Select an event from the event list and then click the Lock button The 23 icon will appear to its left when the event is locked The locked event cannot be deleted automatically but can be deleted manually NOTE o If events are all locked the central station will
123. no responsibility for the results arising from incorrect inputs and operations 10 4 DPM Central Station Operator s Manual Save Results The central station is capable of saving 100 calculations for each patient To save calculations you can click the Save Results button after the calculation is finished NOTE e If you continue to perform the Save Results operation when the number of calculations exceeds 100 the system will delete the earliest calculation and its corresponding time from the Calculated Results List before saving the new one Delete To delete unnecessary or incorrect calculations 1 Select the time corresponding to the calculation you want to delete from the Calculated Results List 2 Click the Delete button below the Calculated Results List 3 Select Yes in the message box The calculation will be deleted 10 3 Oxygenation Calculation Clicking the Oxygenation Calc tab will enter the tab sheet The Calculated Results List shows the time corresponding to a maximum of 100 calculations The Input Item area allows you to enter parameter values and the Calculated Results area is to display calculations In this tab sheet you can NW Calculate Save results Delete Print Record Save as For details about Record Print and Save as refer to chapter 11 Record Print and Save as DPM Central Station Operator s Manual 10
124. ns for single patient A 2 DPM Central Station Operator s Manual Oxygenation calculation 100 calculations for single patient Ventilation calculation 100 calculations for single patient Renal calculation 100 calculations for single patient A 6 Save as Hora he Contents A 7 Print Graphic table waveform review C O measurements event review drug calculations hemodynamics calculations oxygenation calculations ventilation calculations renal calculations 12 lead Review and DSA graph A 8 Record Patient information Graphic table waveform review waveform segment report C O measurement events drug calculation hemodynamic calculations oxygenation calculations ventilation calculations renal calculations 12 lead Review ST waveforms real time report 12 lead ECG report multi lead ECG report ARR statistic result EEG report ICG report CCO report SvO ScvO report alarm settings report real time alarm report Patient information waveform review C O measurement events drug calculation hemodynamics calculations oxygenation calculations ventilation calculations renal calculations real time waveform recoding real time alarm recording 12 lead Review ST review ICG hemodynamic parameter CCO hemodynamic parameter SvO ScvO DPM Central Station Operator s Manual A 3 oxygenation parameters A 9 Data Export Data format Standard xml file Protocol Windows CIES Export i
125. nt windows to be displayed depends on the display mode defined for the multibed screen Refer to 12 2 2 Display Setup Multibed View Window Layout for additional information DPM Central Station Operator s Manual 6 1 6 2 Patient Window 6 2 1 Non Spot Patient Window The non spot patient wndow shows information including bed number patient status and monitor status For the monitors displayed in this window different background colors represent different statuses A A A a 8 a following table shows the available status messages and what they indicate enn is connected and no alarm is Background is black present Monitor is connected and a low or Background is flashing yellow medium priority alarm s is present Monitor is connected and a high priority Background is flashing red alarm is present Disconnection alarm occurs is displayed Background 1s flashing yellow oe P_ Nurse call occurred E is displayed Background is flashing ed B_ Event occured IM is displayed Background is flashing red CAUTION Since a non spot patient window presents neither waveform nor parameter to the clinician it should not be used for monitoring patients 6 2 DPM Central Station Operator s Manual NOTE o The user can adjust the display layout at any time to convert a non spot patient window to a spot patient window where they will be able to view the patient s real time data 6 2 2 Spot P
126. nt from what are on your computer The computer symbols usually have their specific meanings Refer to your computer s operator s manual or contact our service personnel if you have any question Caution Attention consult accompanying documents CAUTION To reduce the risk of electric shock do NOT remove cover Refer servicing to qualified service personnel Power switch Keyboard port Mouse port Serial communication COM port Display port Printer port DPM Central Station Operator s Manual 1 5 USB port or device O g TE Network port Sound input port Microphone port DATE OF MANUAFACTURE MANUFACTURER Equipotentiality The following definition of the WEEE label applies to EU member states only This symbol indicates that this product should not be treated as household waste By ensuring that this product is disposed of correctly you will help prevent bringing potential negative consequences to the environment and human health For more detailed information with regard to returning and recycling this product please consult the distributor from whom you purchased it For system products this label may be attached to the main unit only 1 6 DPM Central Station Operator s Manual 2 The Basics 2 1 Intended Use The central station network transfers information between the DPM central station and other networked devices It also allows information transfer between several c
127. o Idle Sector you can configure the switch of setting to an idle sector in multibed screen DPM Central Station Operator s Manual 12 5 If Enable is selected the drop down list of a No patient admitted or patient transferred patient window on multibed screen will display the option Change to Idle Sector If Disable is selected the drop down list of a No patient admitted or patient transferred patient window on multibed screen will not display the option Change to Idle Sector Multibed View Window Layout You can select the number of rows and columns for multibed view window based on the actual needs The range for the number of rows is 2 to 8 and that for the number of columns is 1 to 3 The product of the number of rows and that of columns is the number of patient sectors The number of patient sectors on a single screen cannot exceed 16 After the number of rows and columns are selected you can preview the new layout set on the right side of the screen After the number of rows and columns are selected the setting of multibed view window layout takes effect ECG Lead Sequence You can choose an option from Standard and Cabrera for ECG Lead Sequence to set waveform sequence for multi lead ECG NW Standard I II IL aVR aVL aVF V1 V2 V3 V4 V5 V6 E Cabrera aVL I aVR II aVF M V1 V2 V3 V4 V5 V6 After the ECG lead sequence is set the waveform s
128. o replace the recorder paper or resolve an issue 11 2 DPM Central Station Operator s Manual Installing Procedure To install recorder paper 1 Open the recorder door and open the paper bail at the upper left corner of the recorder shown in Figure 11 3 Insert a new roll of recorder paper into the paper compartment shown in Figure 11 4 Insert the paper shown in Figure 11 5 Pull the paper out and adjust 1t shown in Figure 11 6 Push down the paper bail shown in Figure 11 7 Ze 3 4 2 6 Close the recorder door shown in Figure 11 8 d Figure 11 3 Installing Recorder Paper 1 Figure 11 4 Installing Recorder Paper 2 Figure 11 5 Installing Recorder Paper 3 Figure 11 6 Installing Recorder Paper 4 Figure 11 7 Installing Recorder Paper 5 Figure 11 8 Installing Recorder Paper 6 DPM Central Station Operator s Manual 11 3 11 1 2 Recorder Operations Recording Patient Information 1 Enter the Patient Mgmt tab sheet 2 Make sure that the patient information is correct 3 Click the Record button to print out the patient information Recording Drug Calculations 1 Enter the Drug Calcs tab sheet 2 Perform drug calculation as per 10 1 Drug Calculation 3 Click the Record button to print out the drug calculations result Recording Hemodynamics Calculations 1 Enter the Hemo Calcs tab sheet 2 Perform hemodynamics calculation as per 10 2 Hemodynamics Calcul
129. ocal printer is directly connected to the central station through the general interface The network printer is connected to the central station through the network interface The recommended printer types for the central station are listed in the following table HP LaserJet 401n Supports A4 or Letter sized paper HP LaserJet M602 You can purchase the printer directly from Mindray or buy the desired printer by yourself For details about how to use the printer refer to the accompanying document provided with the printer 11 2 2 Printing Contents The central station printer can print NW Patient Information NW Drug Calculations Hemodynamics Calculations Oxygenation Calculations Ventilation Calculations Renal Calculations Graphic or Tabular Trends Full Size Waveforms Waveform Segment Reports Compressed Waveforms Arrhythmia Statistic Results Event List Event C O Measurements 12 Lead Analysis Results 12 Lead Analysis Waveforms DPM Central Station Operator s Manual 11 9 ST Segment Waveforms Real time Report 12 Lead ECGs Multi lead ECGs EEG Waveforms ICG Hemodynamic Parameters CCO Hemodynamic Parameters SvO ScvO Oxygenation Parameters Alarm Settings Report Real time Alarm 11 2 3 Printing Operations Printing Patient Information 1 Enter the Patient Mgmt tab sheet 2 Make sure the patient information is correct If not correct it and click Save button 3 Click the P icon on the right
130. ode When the bedside monitor 1s configured with broadcast mode 1f select Broadcast Mode the telemetry can be viewed on the bedside monitor DPM Central Station Operator s Manual 12 2 8 8 Remote Control Settings In Remote Control Settings menu you can make the following settings Alarm Paused amp Alarm Reset Select the checkbox before Alarm Paused amp Alarm Reset to switch on off alarm paused or alarm reset function If the checkbox is selected you can remotely control the alarm pause or alarm reset of the bedside monitors on the central station So the corresponding controls are available in the drop down menu of spot patient window and the icons in the button area of ViewBed screen are active If the checkbox 1s not selected you cannot use those functions Alarm Setup select or deselect the checkbox before Alarm Setup to switch on or off remote alarm setup If the checkbox is selected you can remotely change the settings of activation state alarm priority alarm high low limit ARR threshold Apnea alarm time and Desat limit of the monitor If the checkbox is not selected you can not change those settings on the central station Alarm Latched Select the checkbox before Alarm Latched to turn on or turn off alarm latched function When Alarm Latched is selected you can remotely control to enable the alarm latched function Click the EJ button in ViewBed window and the Alarm
131. olor is light gray it will transmit data via HL7 protocol Other central stations can view the data of the patient authorized in the Authorization Setup menu of the central station When this network card is not activated the central station cannot transmit data to other central stations and other central stations cannot view the patient data of this central station Please refer to the network setup in 12 2 8 6 Gateway Communication Setting for how to activate network adapter for remote central stations 13 4 DPM Central Station Operator s Manual 13 4 3 Authorization Please refer to 12 2 8 6 Gateway Communication Setting for authorization setup NOTE o Other central stations can view the patient data within the central station through the Remote CMS window only when Network Setup and Authorization Setup are correct DPM Central Station Operator s Manual 13 5 FOR YOUR NOTE 13 6 DPM Central Station Operator s Manual 1 4 Database Backup and Recovery 14 1 Overview The central station provides database backup and recovery The central station will shut off automatically during database backup and recovery You can start database backup and recovery by operating the central station or the Windows operating system or when you fail to log into the database By operating the central station Enter the Admin Setup menu select Other to open a tab sheet Click the Database Ba
132. on Operator s Manual 5 2 Obtaining Patient Information Patient information from a Hospital Information System HIS system can be obtained through the eGateway and will display on the current central station There are two ways to obtain patient information E Admit Discharge Transfer ADT Query a Click the Obtain Patient Information button and the ADT System Patient Information menu is displayed b Input a query condition for Patient ID last name first name or unit and then click the Query button The queried patient information is displayed c Select a patient from the patient information list Click the Import the Patient to CMS button The corresponding patient information in the central station will be updated d Click the Exit button to exit the ADT System Patient Information menu NOTE o The Obtain Patient Information button is only available in the patient management screen when the ADT Query function is enabled in the Gateway Communication Setting menu For ADT Query settings refer to 12 2 8 Other Gateway Communication Setting eo The query information about lifetime ID is available when the Lifetime ID is enabled in Factory Setup NW Patient Information Quick Query Enter patient keywords in the Patient Mgmt tab sheet and click the Modify button The patient keywords may be patient name ID etc which are defined on the eGate
133. on your action or the mode of operation the mouse pointer on the screen of the central station will be shaped differently Le When the mouse pointer 1s arrow shaped you can click drag and move the cursor E The mouse pointer is shaped like an I beam when you are in a text entry field DPM Central Station Operator s Manual 2 7 2 Keyboard The keyboard can be used to enter characters into text entry fields To enter characters into a text entry field position the mouse pointer inside the text entry field and then click the mouse When the mouse pointer changes its shape from an arrow to an I beam it indicates that you can type select delete text or reposition the insertion point 2 7 3 Controls Scroll Bars al Up arrow Left arrow Scroll box Right arrow jal Scroll box Down arrow ee eee x Horizontal scroll bar Vertical scroll bar As shown in the figure above there are two types of scroll bars horizontal and vertical The scroll bar can be used to position browse and display your desired information Text Box Address Pastcode EE The text box provides text entry fields which are used to edit and display text In a text entry field you can use the mouse and keyboard to edit text for example input select delete copy and paste characters DPM Central Station Operator s Manual 2 7 Radio Buttons CO Selected min Hg Paie Unselected Radio buttons can be
134. one C O measurement 3 Click the Record button to print out the selected C O measurement Recording 12 Lead Analysis Results 1 Enter the 12 lead Review tab sheet 2 Click the Record button 3 Select Time Range from the pop up dialog box 4 Click OK to print out the 12 lead analysis result list Recording 12 Lead Analysis Waveform 1 Enter the 12 lead Review tab sheet 2 Click the Waveforms button after selecting an analysis result 3 Click the Record button to print out the analysis results and 12 analysis waveforms DPM Central Station Operator s Manual 11 5 Recording ST Segment Waveform l 2 3 4 Enter the ST Review tab sheet Click the Record button Select Sweep Speed from the pop up dialog box Click OK to print out ST segment Recording ICG Hemodynamic Parameters l 2 3 4 Enter the ViewBed tab sheet Select and then click the ICG parameter area Select the ICG tab sheet and click the Hemodynamic Parameters button Click the Record button from the pop up dialog box Recording CCO Hemodynamic Parameters 1 2 3 4 Enter the ViewBed tab sheet Select and then click CCO parameter area Select the CCO tab sheet and click the Hemodynamic Parameters button Click the Record button from the pop up dialog box Recording SvO2 ScvO2z Oxygenation Parameters l
135. ons Hemodynamics calculations Oxygenation calculations Ventilation calculations Renal calculations 12 lead review DSA graph With the file name defaulted as XXXX patient name Y Y Y Y in which the XXXX represents one of the above items If no patient name is input the file name will have no patient name If it is the first time saving the Y YY Y will be 0001 which will automatically add one 1 every time data is saved The saved files can be browsed using Internet Explorer on other computers The files can be saved to a mobile hard disk flash or the like which must be connected to the central station before saving If no storage device is connected the system will give the No valid storage device found in the system please confirm message 11 18 DPM Central Station Operator s Manual After a USB device 1s successfully connected to the central station the acd icon will appear in the system icon area To disconnect the USB device from the central station 1 Click the gt icon 2 Click the Delete disk driver safely prompt 3 After the icon disappears you can disconnect the USB device from the central station Graphic Trends 1 Enter the Trend Review tab sheet 2 If tabular trends are currently displayed on the screen click the Graphic button 3 Click the Save As button A dialog box will be displayed 4 Select a drive and click OK The grap
136. or more information about the tab sheet refer to 2 7 3 Controls Tab Sheet MAI DPM Central Station Operator s Manual 4 3 Dual Screen Mode This central station supports a dual screen mode which indicates that two displays are connected to one host The dual screen mode can be configured with two main screens or one main screen W Two Main Screens Mode As shown in Figure 4 3 both displays default to the main screen 1f the number of main screens 1s configured to two The system buttons and icons are located on the right display s screen Click a patient window and the right display will change to show the auxiliary screen for this patient To go back to the main screen click the Main Screen button at the bottom of auxiliary screen In two main screens mode a maximum of 32 monitors can be viewed at one time Figure 4 3 Two Main Screens Default W One Main Screen Mode As shown in Figure 4 4 if the number of main screens is configured to one 1 the left display always shows the main screen and right display always shows the auxiliary screen In this mode up to 16 monitors can be viewed at one time Figure 4 4 One Main Screen DPM Central Station Operator s Manual 4 5 As to the configuration for the above two modes please refer to 12 2 2 Display Setup Number of Main Screen Display Layout for details 4 4 Multi Screen Mode This
137. orm area by either When the cursor is positioned at any ECG waveform the buttons and will display at the left end of the waveform Click button can increase the gain and click button can decrease the gain Right click mouse and select Zoom in ECG Gain or Zoom out ECG Gain in the pop up menu Sweep Speed You can set the sweep speed by either Inthe waveform area right click and select Zoom in Sweep Speed and Zoom out Sweep Speed to adjust the speed In button area click Sweep Speed to set the waveform sweep speed Refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Operation for additional information on selecting sweep speed NW Caliper Measurement Area The caliper measurement area is hidden by default If the check box before Caliper is selected at the right bottom corner of the screen this area will be shown otherwise it will be hidden There are five measurement buttons and one Clear button When the caliper is operated in the waveform area click PR QRS RR QT buttons in the caliper measurement area and the corresponding measurement will display The QTC value is calculated after RR and QT value have been acquired You can clear all the values by clicking the Clear button DPM Central Station Operator s Manual E Parameter Area By default the parameter area is hidden Clicking the Numeric Data button will show the
138. orm renal calculation per 10 5 Renal Calculation 3 Click the icon on the right side of the Print button and select Print Preview to preview the printout A Click the Print button DPM Central Station Operator s Manual 11 11 Printing Graphic or Tabular Trends Manual printing 1 Enter the Trend Review tab sheet 2 Set the resolution or zoom per 9 1 2 Trend Review 3 Click the icon on the right side of the Print button in the tabular trends and select Print Setup to set up the printing options 4 Click the Y icon on the right side of the Print button and select Print Preview to preview the printout 5 Click the Print button Scheduled printing 1 Enter the Trend Review tab sheet 2 Click the icon on the right side of the Print button and select Scheduled Report Setup to set up the printing options 3 Click Close button to exit the menu The report will be printed at the start time you set in the printing control screen per 1 1 2 4 Printing Control If you want to print the report now click Print Now button NOTE The option Scheduled Report Setup is only available in the Trend Review tab sheet when the check box before Scheduled Report is selected in the Printing Control tab sheet Printing Full Size Waveforms l 11 12 Enter the Waveform Review tab sheet If compressed waveforms
139. ospital emergency power system Failure to do so will result in loss of monitoring during extended periods of power failure Hospitals without an emergency power system should use a UPS to provide power to the central station The UPS must not be turned off when the central station is working When there is a power failure the system should be shut down by following the specified shutdown procedure before the UPS is exhausted When the system has a sudden power failure system failure may occur and the system may not work properly when it restarts DPM Central Station Operator s Manual 3 5 Maintenance NWARNING Failure on the part of the responsible hospital or institution employing the use of the central station to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazard The safety checks or servicing involving any disassembly or decomposition of devices should be performed by professional servicing personnel otherwise it may lead to undue equipment failure and possible health hazards Turn off the central station if no patients are to be centrally monitored If the system has been running continually for six months restart the system When the central station is restarting patient data will not be stored To prevent any data loss only restart your system when there are no patient s being centrally monitored 3 5 1 General Inspection Whenever your system is first inst
140. ou really want to admit a patient perform the Discharge Patient operation first For details refer to 5 5 Discharging a Patient NOTE o A defibrillator cannot be bound with a patient window Patient information from this defibrillator will be displayed in an idle patient window if one is available one will be selected by the central station according to the sequence of top to bottom and left to right when it admits a patient next time DPM Central Station Operator s Manual 5 1 5 1 1 Admitting Patient through Central Station 5 2 When a monitor which has not admitted a patient is connected to the network you can admit a patient by one of the following methods E Click a patient window which shows No patient admitted or patient transferred or Idle sector Click to admit a patient Then select Admit Patient in the pop up menu This 1s applied to admit patient to a spot patient window For detail refer to 6 2 Patient Window or M Click the H in the icon area or the Admit Patient button in the button area and admit the patient in the open window When the H icon or the Admit Patient button is selected a window is opened In this window the Connected Patient List is displayed at the left side of the window and Patient Info at the right side The Connected Patient List includes the information of all the monitors using CMS network protocol and all the telemetry t
141. ow and then select the Patient Mgmt tab 2 In this tab sheet you can modify patient information such as name gender and height etc 3 After modification select Save to preserve the changes The central station will inform the monitor to make modifications accordingly If two patients with the same bed No are in one central station a message box will display indicating a bed conflict Select OK to return to the Patient Mgmt screen If patient category has been changed a message box will be displayed Select OK to save the changes or Cancel to delete the changes If Nurse Call and or Event in the telemetry system are set to Off a message box will be displayed Select OK to preserve the changes or Cancel to delete the changes DPM Central Station Operator s Manual NOTE o If you have changed patient category through the central station patient category on the monitor will be changed accordingly 5 4 1 Inconsistent Patient Information between Monitor and Central Station If patient information is modified when the monitor is disconnected from the central station and then the monitor is re connected to the central station inconsistent patient information may occur between the central station and monitor If this happens a low priority technical alarm appears in the technical alarm area and a prompt message simultaneously appears in the
142. ox will pop up In this dialog box you can set the waveform layout as 12 X 1 6X 2 1 or 3X4 1 If the printer is unusable or no printer is connected this icon will be disabled Printing Multi Lead ECG When a patient is being monitored at the bedside using 5 lead ECG select the E icon to display the multi lead ECG waveforms Then click the icon to print the ECG waveforms If the printer is unusable or no printer is connected this icon will be disabled 7 4 14 Show Hide Multi Lead ECG Click the El icon to show or hide multi lead ECG waveform The Multi lead ECG screen is shown in Figure 7 4 Figure 7 4 Multi lead ECG If there is no ECG waveform the monitor is set to 3 lead or your central station does not support multi lead ECG the multi lead ECG waveforms will not be displayed Click the E icon to turn on or turn off 12 lead ECG waveform display when the bedside monitor enters full screen 12 lead screen as shown in Figure 7 5 below DPM Central Station Operator s Manual 7 9 Figure 7 5 12 lead ECG Standard 7 4 15 Show Hide NIBP Table Clicking the la icon will show or hide the NIBP table in the waveform area Each measurement includes Measure Time NIBP values and PR 7 4 16 Show Hide BIS Expand View You can click the EE icon to show or hide BIS Expand View In BIS Expand View you can select to view EEG waveforms BIS trend and DSA graph This button 1s enabled only when networked monitor su
143. pports BISx4 monitoring otherwise this button 1s disabled 7 4 17 Show Hide Device Integration Expand View Clicking the icon will show or hide Device Integration Expand View This button is enabled only when networked monitor supports device integration otherwise this button is disabled All text in Device Integration Expand View appears in white You can select to view an individual device or all devices in the Device Integration Expand View EW Click one of the individual device tabs and access its corresponding tab sheet Each tab sheet provides Parameter Display button You can use the button to select the desired parameters for display if necessary 7 10 DPM Central Station Operator s Manual M Click the Multi Devices tab to access the tab sheet In this sheet you can view the parameters from all devices at the same time NOTE eo There is no Multi Devices tab in Device Integration Expand View when only one device is integrated with the monitor The Device Integration Expand View can include a maximum of 4 individual tab sheets 7 4 18 Display ST Segments Display Real time ST Segments In the ECG parameter setup menu select Display ST Segments In the ViewBed window the ECG waveform display area will display ST segments NW Displays ST segments of one lead when using a 3 lead type E Displays ST segments of three leads when using 5 lead and 12 lead types Figure 7 6
144. ransmitters connected to the LAN This information includes details about monitoring status monitor name department bed number patient name and patient ID NOTE Ifthe bedside monitor is in Standby mode and no patient is admitted the monitor automatically exits the Standby mode when a patient is admitted by the central station Ifa bedside monitor is bound with a patient window and no patient is admitted when the monitor exits the Standby mode a patient is automatically admitted to the monitor which is controlled by the central station DPM Central Station Operator s Manual The monitoring status and corresponding details are shown in the following table No Patient Admitted The monitor is in this CMS monitor list The monitor is in CMS XX monitor list The monitor is not in any CMS monitor list Monitored by this CMS The monitor has admitted a patient and is being monitored by this CMS Monitored by CMS XX The monitor has admitted a patient and is being monitored by CMS XX The monitor has admitted a patient but is not in this CMS monitor list The monitor has admitted a patient but is not in CMS XX monitor list The monitor is in this CMS monitor list and has admitted a patient but the ECG algorithm of the transmitter does not match that of the CMS The monitor is in this CMS monitor list and has admitted a patient but the CMS has reached its maximum number of beds The monitor is in this CM
145. rchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external cables and sensors Mindray shall not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products Liability under this warranty and the buyer s exclusive remedy under this warranty is limited to servicing or replacing the affected products at Mindray s option at the factory or at an authorized distributor for any product which shall under normal use and service appear to Mindray to have been defective in material or workmanship Recommended preventative maintenance as prescribed in the service manual is the responsibility of the user and is not covered by this warranty No agent employee or representative of Mindray has any authority to bind Mindray to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer or user THIS WARRANTY IS EXPRESSLY IN LIEU OF AND MINDRAY EXPRESSLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED WARRANTIES INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY NON INFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY Damage to any product or parts through misuse neglect accident or by affixi
146. rd button The dialog box will be displayed Input old password and new password before selecting OK If the change succeeds the Password changed Please remember new password message box will be displayed Select OK to activate your change If the old password you have entered is incorrect or the new password is entered inconsistently the system will give a prompt message You can select OK to repeat the input procedure DPM Central Station Operator s Manual 12 13 NOTE If you use the factory password to enter the Admin Setup tab sheet you can directly input the new password without inputting the old password 12 2 8 3 Change Central Station Time NWARNING Do not change the operating system time if the central station software is installed NOTE After the central station time is changed the networked monitor system time will be synchronized to match the central station system time When a monitor is connected to the central station the monitor system time will be synchronized to match the central station system time The central station will synchronize the time of the networked monitors on its whole hours The system time of the defibrillator will not be synchronized by the central Station The central station system time can be changed automatically or manually Automatically change time 1 2 3 4 Click the Change Time button and the dialog box will
147. rd disk ar If you select the USB mobile medium click the icon and select the backup file for recovery 14 3 3 Recover Database After selecting the correct path for database recovery select the Next button to enter a dialog box Then click the Start button to start database recovery If database recovery is overtime or an abnormal condition occurs during database recovery a message will be presented DPM Central Station Operator s Manual 14 3 14 4 Rebuild Database After the Database Backup and Recovery program starts up the dialog box will appear Select Rebuild Database NOTE eo All the data in the current database will be deleted during rebuilding the database eo All alarm settings previously saved will be lost and will have to be manually restored 14 5 Shrink Database After the Database Backup and Recovery program starts up the dialog box will appear Select Shrink Database If an abnormal condition occurs during database shrink a message will be presented 14 6 Exit Database Backup and Recovery When you exit the Database Backup and Recovery program the central station will start automatically 14 4 DPM Central Station Operator s Manual 1 5 System Help 15 1 Overview The central station features a webpage like on line help so that you can obtain a better understanding of the system Click the Help menu to enter the help screen There
148. rent patient enter the Standby mode In the Standby mode you can click this icon again or click any place in the ViewBed tab sheet to exit the Standby mode For details about the Standby mode refer to the telemetry monitoring system manual 7 4 6 Controlling a Bedside Monitor to Exit Standby If a bedside monitor 1s in Standby mode click any place in the ViewBed window Then a dialog box of prompt information will pop up Select Yes in the dialog box and the monitor will exit the Standby mode and resume normal monitoring NOTE eo The central station can control the bedside monitor by exiting Standby mode only when the monitor supports this function 7 4 7 NIBP Measurement Once the AS 1con is clicked the corresponding bedside monitor will start an NIBP measurement During the measuring process this icon changes to ka At this time you can click this icon to stop the measurement This icon changes accordingly when the bedside monitor starts or stops an NIBP measurement N WARNING o Before starting an NIBP measurement by a bedside monitor at the central station side be sure that patient type set on the bedside monitor is correct and NIBP cuff applied is proper 7 6 DPM Central Station Operator s Manual 7 4 8 Freeze Unfreeze Waveforms By clicking the T icon you can freeze all dynamic waveforms in the waveform area In this area freeze time is displayed at the top of the waveform area and time scale uni
149. ress will be eGateway address and setting of Port setting will be consistent with that set in eGateway NOTE o The Obtain Patient Information button is available on the patient management screen only when ADT Query is set to Enable Date Export Setup 9 Input multicast IP address and port IP Address will be eGateway address and Port setting will be consistent with that set in eGateway Export Waveform Data When configured to Enable the button Export to EMR will be displayed on the Waveform Review full size waveform view and Event Review sheets Then the waveform or event can be exported to other systems When configured to Disable the waveform or event cannot be exported to other systems Export 12 Lead ECG Report When configured to Enable once the central station receives the 12 lead ECG analysis result from the bedside monitor the central station will automatically generate a 12 lead ECG report and send the report to other systems When configured to Disable the report will not be generated The sampling characteristics of ECG waveforms are Sampling frequency export in waveform review and event review 80 Hz export in 12 lead analysis review 256 Hz 9 Sampling amplitude resolution 19 5313 uV LSB Significant bits 8 bits DPM Central Station Operator s Manual 12 17 12 2 8 7 Communication Settings NOTE Settings
150. rk for all network functions Do not connect the external audio device with the central station Do not block the speaker of the central station 1 1 2 Cautions CAUTION All central station equipment must utilize the hospital emergency power system Failure to do so will result in loss of monitoring during extended periods of power failure Hospitals without an emergency power system should use an Uninterruptible Power Supply UPS to power the central station When there is a power failure the system should be shut down by following the specified shutdown procedure before the UPS is turned off If the system has a sudden power failure system failure may occur and consequently the system will not work correctly next time or even have a serious result Start or transport the central station host and display in their specified environment Otherwise the central station may be damaged We will assume no responsibility for such damages System time should be set before the central station is put into use If the system time is changed when the central station is in use may result in patient data loss Be sure to use standard thermal recorder paper only otherwise the recorder may show poor quality on record or may be unusable or the print head of the recorder may be damaged If Windows 7 Professional Embedded OS is used please make sure that it is only used for the central station software rather than other purposes
151. rrent tasks to be printed out are displayed After selecting one task you can M Click the Delete button to delete this task Click the Move Up button to increase its priority Click the Move Down button to decrease its priority Click the Pause button to pause this task Click the Continue button to resume the paused task In this tab sheet you can also M Click the Record Type drop down menu to select desired record type mM Click the Sweep Speed drop down menu to select a desired waveform sweep speed from the options of 25mm s and 50mm s mM Select the check box before Grid to select whether to display the grid in the recording NOTE o The system can store a maximum of 50 print tasks or requests o The paused task will not be printed out If it is followed by other tasks to be printed out these tasks will be printed out through the recorder The resumed task will be printed out in correct order The real time and ongoing recordings cannot be paused o The automatically stopped recordings will record two lines of at the end of reports manually stopped or abnormally stopped recordings will record one line of at the end of reports 11 8 DPM Central Station Operator s Manual 11 2 Print 11 2 1 Printing Support The central station can be connected with a local printer or network printer to print out reports With a separate power supply system the l
152. s 4 Select OK and the system will save all the selected waveforms The central station can save up to 240 hours of waveform data for each patient If you did not select waveforms for a patient no waveforms and parameter values can be reviewed from the Waveform Review window For details about automatic waveform storage refer to 5 1 3 Auto Waveform Storage E Selecting waveforms Click the Wave Select button to display the menu of waveforms Select the checkbox beside the desired wave at most four waves and the compressed waveform area will display the selected waves To change the order of the waveform click the waveform name then select Move First Move Up Move Down or Move Last Click the Save as Default button to save the current configuration as the user s default configuration click Load Configuration to load the user s default configuration for the current patient NOTE The new admitted patient is loaded with the default waveforms W Marking arrhythmia The arrhythmia alarm waveforms can be marked with color in the compressed waveform area From the ARR Mark drop down list you can select the types of arrhythmia to be marked The marked waveforms start from the point 16 seconds before the arrhythmia alarm and end when the alarm condition disappears To set desired color for each type of arrhythmia refer to 12 2 1 Setting Color DPM Centr
153. s set to 0 the alarm audio is turned off and the central station will switch off the alarm tone and give no audible alarm even if a new alarm occurs The central station can be in either system silenced or alarm audio off status at same time o The icon will appear on the main screen if the central station is in the system silenced status o The icon will appear on the main screen if the central station is in the alarm audio off status 8 10 DPM Central Station Operator s Manual 9 Review 9 1 Online Review Online review is used to review the dynamic short trends C O measurements waveforms trends events 12 lead analysis and ST segment of a patient that is currently monitored by the central station 9 1 1 Dynamic Short Trend Clicking the ES icon in the ViewBed screen will show graphic short trends for the parameter The colors and order are subject to their respective parameter modules X X X X X X X X XX X XXX X XXX si 60 120 80 Figure 9 1 Dynamic Short Trend The dynamic short trends will automatically update every minute and the total display time is 4 hours Below the bottommost short trend window is a time scale with scales in 4 2 and O hour and each vertical line representing an interval of 1 hour Click in a parameter s dynamic short trend window and the parameter s graph will be selected Clicking again will enter the dynamic short trend setup window The defa
154. select Alarm and select the Silence Hotkey as desired Clicking the Silence button on the main screen or pressing the Silence hot key if the Silence Hotkey check box is selected will enter the central station system silenced status When the system sounds are silenced the BBSS icon will appear on the main screen In the system silenced status the central station gives no audible alarm but other alarm indications such as alarm message continue to be displayed If a new alarm occurs the system silenced status will be automatically released In the system silenced status clicking the Resume button on the main screen or pressing the Silence hot key again if the Silence Hotkey check box is selected will exit the central station system silenced status DPM Central Station Operator s Manual 8 9 8 10 Central station Alarm Audio Off Central station Alarm Audio Off only switches off the audible alarms from the central station Alarm audio from the monitors will not be affected In General Setup when the alarm volume is set to 0 the central station audio is turned off Refer to 8 3 Alarm Volume When audible alarms are switched off the icon will appear on the main screen In this case the central station gives no audible alarm but other alarm indications and audible signals continue to be displayed NOTE eo Be careful to configure the alarm volume to 0 If alarm volume i
155. sure Pulse Pressure Variation Pulse rate Pressure time product Personal System 2 Pressure support level Inspiratory trigger level pressure trigger Pulmonary vascular permeability index Ramp Right atrial pressure Airway resistance Expiratory time constant Inspiratory time constant Expiratory resistance Respiration Inspiratory resistance Respiratory quotient Respiration rate Rapid shallow breathing index Arterial oxygen saturation Spectral edge frequency Serum sodium Stroke volume DPM Central Station Operator s Manual C 7 ABBREVIATION SVI SvO gt ScvO gt SVR SVRI SVV SEV SpO SQI SR S SYS TB TCP IP tcpCO tcpO2 TEMP Texp Thigh TI Ti max Tinsp Tip TIP TI Tlow TP TRC Trig Window Trigger Trise Tslope TV Ucr Uosm UPS URK URNa C 8 DEFINITIONS Stroke volume index Mixed venous oxygen saturation Central venous oxygen saturation Systemic vascular resistance Systemic vascular resistance index Stroke volume variation Sevoflurane Arterial oxygen saturation from pulse oximetry Signal quality index Suppression ratio Systole systolic Temperature of blood Telecommunication Control Protocol Internet Protocol Transcutaneous carbon dioxide partial pressures Transcutaneous oxygen partial pressures Temperature Expiratory time Time for the upper pressure level Temperature of Injectate maximum inspiration time Time of inspiration Inspiratory pause time Percentage of
156. t s below the first waveform Clicking lt or amp will move the waveforms backward or forward one unit s and the time scale will change accordingly You can view more frozen waveforms by dragging the vertical scroll bar shown in Figure 7 1 In the frozen status clicking the T icon will restore the dynamic waveforms 7 4 9 Show Hide Alarm Limits Clicking the icon will show or hide alarm high low limits set for all physiological parameters As shown in Figure 7 3 the alarm high low limits are located to the right of the parameters value with the alarm high limit above the alarm low limit 1 Measured parameter values 2 High alarm limits 3 Low alarm limits Figure 7 3 Alarm High Low Limits 7 4 10 Show Hide Dynamic Trends Clicking the icon will show or hide dynamic short trends for each physiological parameter For details on dynamic short trend refer to 9 1 1 Dynamic Short Trend DPM Central Station Operator s Manual 7 7 7 4 11 Parameter Order Clicking the Oe icon will open a dialog box where you can configure the waveform and parameter display order The available parameters depend on the monitor s configuration Select a parameter and then click Move Up Move Down Move First or Move Last to adjust its position Its waveforms and digital values will change their positions accordingly Clicking the Default button will restore the default display order of parameters The d
157. t to ON and are unchangeable The All Alarm Off button is inactive If it is set to Enable the switches of lethal Arrhythmia alarms are able to be set The All Alarm Off button is active Nurse Call and Event Setup To enable or disable the nurse call function and or event function on the telemetry monitoring system you can make the following settings If Enable is selected the telemetry system will enable the nurse call and event functions and the Patient Mgmt screen will display the Nurse Call and Event fields If Nurse Call is selected the telemetry system will enable the nurse call function and the Patient Mgmt screen will display the Nurse Call field If Event is selected the telemetry system will enable the event function and the Patient Mgmt screen will display the Event field If Disable is selected the telemetry system will disable nurse call and event functions and there are no fields of Nurse Call and Event in the Patient Mgmt screen Nurse Call Audio Mode You can set the nurse call audio mode as ISO MODE 1 or MODE 2 IP Address The IP Address window is used only to change the IP Address of the TMS 6016 receiver The IP address should NEVER be changed once it is set up during installation by a properly trained Service person 12 2 8 Other Clicking the Other tab will enter a tab sheet
158. tion Drying off excess cleaning solution before cleaning the equipment is recommended The following are examples of cleaning solutions NW Hydrogen peroxide 3 E Ethyl alcohol 70 WE Workstation server cleaning solutions El Liquid crystal display LCD detergent 3 6 DPM Central Station Operator s Manual Follow these guidelines to avoid damaging the equipment NCAUTION o Failure to follow these guidelines may melt distort or dull the finish of the case blur lettering on the labels or cause equipment failures E ALWAYS dilute the solutions according to the manufacturer s suggestions ALWAYS wipe off all the cleaning solution with a dry cloth after cleaning E NEVER SUBMERGE the equipment into water or any cleaning solution or POUR or SPRAY water or any cleaning solution on the equipment E NEVER permit fluids to run into the casing switches connectors or any ventilation openings in the equipment E NEVER use abrasive materials and erosive or acetone based cleaning agents NWARNING o Disinfection or sterilization may cause damage to the equipment therefore when preparing to disinfect or sterilize the equipment consult your hospital s Infection Control Officer or Epidemiologist eo The indicated cleaning solutions should only be used for general cleaning Mindray cannot assume any responsibility if these cleaning agents are used for infection control DPM Central Station Operator s
159. tional information regarding spot and non spot patient windows DPM Central Station Operator s Manual 4 7 FOR YOUR NOTES 4 8 DPM Central Station Operator s Manual 5 Patient Management The central station enables you to manage patients by Admitting patients Obtaining patient information Patient information synchronization Modifying patient information Discharging patients Switching patient windows Changing to idle sector Transferring patients 5 1 Admitting Patients A patient can be monitored on the central station only after the patient monitor 1s first admitted by the central station and then the patient is admitted Refer to 12 2 5 Monitor List on how the monitor is admitted to the central station Once the patient is admitted the central station can display the patient s physiological parameters waveforms and alarm messages and store the corresponding patient data You can admit a patient either at a bedside monitor or at the central station After a patient is admitted the patient window is bound with a monitor and patient data from this monitor will be displayed in the same patient window For details on patient window refer to 6 2 Patient Window If the admitted patient s number exceeds the maximum number of patients allowed to a central station the message The maximum number of beds connected is reached will be displayed At this time the central station cannot admit one more patient If y
160. to Off the reminder tone will not be produced You can set the reminder interval as 1 min 2 min or 3 min The default one is 1 min Alarm Off Reminder Tone is same as the highest level alarm tone Silence Hotkey For details refer to 8 9 Central Station System Silence Set Alarm Audio Mode You can set the alarm audio mode as ISO MODE 1 or MODE 2 Set Alarm Sound Intervals If the alarm audio mode is set as ISO you can set alarm sound intervals by toggling between High Alarm Interval s Med Alarm Interval s and Low Alarm Interval s You cannot change the interval between alarm tones if you choose mode 1 or 2 as your DPM Central Station Operator s Manual 12 7 desired alarm audio mode For these two modes the interval between alarm tones identifies the alarm levels as follows E Mode 1 Interval between high level alarm tones continuously Interval between medium level alarm tones 5 s Interval between low level alarm tones 20s E Mode2 Interval between high level alarm tones ls Interval between medium level alarm tones 5 s Interval between low level alarm tones 20 s Select Stored Waveforms In the Alarm tab sheet you can select the relevant waves stored when alarms occurred to the specific parameter 1 Click the Alarm tab sheet 2 Select a parameter from the Alarm Numeric list Then select t
161. to establish a corresponding connection between the telemetry transmitter and multibed patient sector The central station provides two monitoring modes Fixed monitoring to establish fixed corresponding connections between the telemetry transmitter and the multibed patient sector Such corresponding connections are not changed when the patient is discharged The patient sector displays bed number and serial number of telemetry transmitter and the bed mark color 1s not changed The patient sector displays No patient admitted or patient transferred Flexible monitoring no fixed corresponding connections are established between the telemetry transmitter and multibed patient sector The corresponding connections are relieved when the patient is discharged The patient sector is idle and displays Idle sector Click to admit a patient Click the Monitoring Mode Setup button and select the telemetry monitoring mode from the pop up menu The options are Fixed Monitoring and Flexible Monitoring The setting 1s activated immediately System Information In the System Information area the main board software version receive board software version total run time are displayed DPM Central Station Operator s Manual 12 11 Lethal Arrh Off Settings The Lethal Arrh OFF can be set for the telemetry monitoring system If 1t 1s set to Disable all the lethal Arrhythmia alarms switches are se
162. tor s Manual 8 3 8 3 Alarm Volume By clicking System Setup button then General Setup tab you can enter the General Setup tab sheet The central station provides up to 11 volume levels increasing from 0 to 10 You can drag the volume control key to your desired volume While dragging the volume control key the corresponding sound will also be played The alarm volume can be configured in the range from Minimum Alarm Volume to 10 Please refer to 12 2 3 Alarm Set Minimum Alarm Volume In the General Setup tab you can set high alarm volume High alarm volume can be set equal to or louder than the alarm volume The options are alarm volume 0 alarm volume 1 and alarm volume 2 When a high level alarm occurs the alarm will sound with the specified high alarm volume For example if the high alarm volume is set to alarm volume 1 and the current level of alarm volume is 5 then the high alarm volume is 6 NOTE o If the alarm volume is set to 0 the system information area displays the alarm audio off icon XI o If high alarm volume level is greater than 10 the monitor will sound it in the volume of 10 8 4 Alarm Setup In either the Parameter Setup or Alarm Setup tab sheet you can define alarm switch alarm high low limits and alarm priority for each parameter 8 4 1 Parameter Setup Tab Sheet Click in a parameter window The border of the window will appear
163. tors equipped with Telemetry without wireless network wireless network adapters Transmitters adapters Figure 2 2 Central Monitoring Network E Wired network The central station exchange and monitors interconnect through network cable M Wireless network Through a network cable the central station is connected to an AP Access Point which via wireless RF connects multiple monitors equipped with wireless network adapters E Telemetry network Through a network cable the central station is connected to the telemetry receiver which via wireless RF connects multiple telemetry transmitters The central station supports the networking between multiple central stations so that the information on one monitor within one central station can be viewed by other networked central stations DPM Central Station Operator s Manual 2 5 2 7 Controls 2 7 1 Mouse 2 6 Left Mouse Button The mouse is the primary means of user interaction with the central station Following are two basic ways to operate the mouse NW Click position the mouse pointer on a selection and then press and immediately release the left mouse button NW Drag position the mouse pointer on a selection and then hold the left mouse button down while moving the mouse pointer until your desired place is reached NOTE o The term click in this manual refers to clicking the left mouse button unless otherwise specified Depending
164. trol Setting to see how to enable or disable the remote alarm control function 8 8 Latching Alarms 8 8 If an alarm is latched the alarm message and the start time continue to display in the alarm area when the alarm condition ends Enter the Alarm Setup window select Others tab sheet and then set the Alarm Latch by the options of Off High Hi amp Med and All Alarm latch function supports bidirectional control E If Off is selected no alarm will be latched m If High is selected the alarms in the high level will be latched m If Hi amp Med is selected the alarms in the high and medium levels will be latched a If All is selected all the alarms will be latched DPM Central Station Operator s Manual You can enable or disable the alarm latch function on the central station When alarm latch is disabled the Alarm Latch control in the Alarm Setup tab sheet 1s inactive Refer to 12 2 8 8 Remote Control Settings for details 8 9 Central Station System Silence Central station system silence only silences the central station system sounds Alarms from the monitors will not be affected The central stations system sounds include alarm sound nurse call event etc To silence or reactivate central station system sounds click System Setup then click Admin Setup then enter required password In the Admin Setup tab sheet
165. tton The calculations of other parameters will be displayed in the Calculated Results area Parameter values which are beyond the normal range will be displayed on a yellow background NWARNING o Be sure to input correct parameter values The user must verify the correctness of the calculations displayed on the screen before using them We assume no responsibility for the results arising from incorrect inputs and operations Save Results The central station 1s capable of saving 100 calculations for each patient To save calculations you can click the Save Results button after the calculation is finished NOTE eo If you continue to perform the Save Results operation when the number of calculations exceeds 100 the system will delete the earliest calculation and its corresponding time from the Calculated Results List before saving the new one Delete To delete unnecessary or incorrect calculations 1 Select the time corresponding to the calculation you want to delete from the Calculated Results List 2 Click the Delete button below the Calculated Results List 3 Select Yes in the message box The calculation will be deleted DPM Central Station Operator s Manual 10 9 FOR YOUR NOTES 10 10 DPM Central Station Operator s Manual 1 1 Record Print and Save as 11 1 Record As shown in the Figure 11 1 below the central station can be equipped with a thermal re
166. tup of New Group 1 To delete the New Group 1 you can select the New Group 1 and then click the Delete Group button DPM Central Station Operator s Manual NOTE o When a patient is discharged the numeric group selection is saved The numeric group will be displayed using the same default configurations when a new patient is admitted If you discharge a patient and set the bed to an idle sector the selection of the numeric group is cleared and the numeric group configurations restore to the system defaults DPM Central Station Operator s Manual 6 11 FOR YOUR NOTES DPM Central Station Operator s Manual r ViewBed 7 1 Overview The central station allows you to view a single patient through the ViewBed screen in which you will have an enlarged view of that single patient s information waveforms and values In this screen you can freeze waveforms review dynamic short trends view multi lead ECG waveforms and record waveforms etc To access the ViewBed screen follow the instructions below NW Fora spot patient click the left mouse button in its corresponding patient window The ViewBed screen for that patient will open NW For a non spot patient click on its corresponding block in the non spot patient window The ViewBed screen for that patient will open When the ViewBed window is open you can switch among different patients by clicking in
167. tware copyright is solely owned by Mindray No organization or individual shall resort to altering copying or exchanging it or to any other infringement on it in any form or by any means without due permission NOTE o Never place the central station within a patient environment o Place the central station in an environment that the system can be easily viewed operated and maintained 3 2 1 Environmental Requirements 3 2 Each component of the central station must work under the specified environment The environment where the central station is installed should be reasonably free from noises vibration dust and corrosive flammable explosive substances If the central station 1s installed in a cabinet sufficient space in front and behind should be left for convenient Operation maintenance and repair Moreover to maintain good ventilation the central station should be at least 2 inches 5 cm away from around the cabinet When the central station is moved from one place to another condensation may occur as a result of temperature or humidity difference In this case never start the system before the condensation disappears DPM Central Station Operator s Manual 3 2 2 Power Requirements Each component of the central station must be powered by the specified power source To protect the hospital personnel from electric shock the central station including the host and displays and 1ts recorder must have their
168. ult selected parameter is the currently displayed parameter You can select other parameter in the window to view the corresponding dynamic short trend graph Additionally you can view more parameters short trends by dragging the vertical scroll bar DPM Central Station Operator s Manual 9 1 9 1 2 Trend Review 9 1 2 1 Overview Clicking the Trend Review tab will enter a tab sheet through which you can store and review up to 240 hours of trend data Trend changes can be observed in a graphic or tabular format You can switch between the tabular and graphic format by simply clicking their buttons In the tabular format the parameters from the integrated devices are indicated with mark before the parameter name In the graphic format in addition to the mark before the parameter name the relevant parameter information of the integrated devices is shown in white 9 1 2 2 Operation In this tab sheet you can NW Set resolution or zoom View parameter values at a certain time Select trend group Refresh data Print Save as For details about print and save as refer to 11 Record Print and Save as Setting Resolution or Zoom 9 2 In the tabular trends you can set a time interval as the resolution to display the tabular trends When the resolution is set to NIBP or TEMP up to 240 hours of measured values and other parameter values which NIBP or TEMP measurement time correspon
169. used to select one of a group of mutually exclusive options W O indicates unselected E indicates selected Command Buttons Modify Discharge Transfer Command buttons can be used to execute designated operations When a command button appears dimmed or pressed it indicates that this command button is currently disabled Check Boxes High Low Messaqe Partly checked Unchecked Checked Message Check boxes enable the users to select multiple options E Indicates active selection If there is more than one sub item it indicates that all the sub items are selected pal Indicates that this item has multiple sub items but has only part of them selected LJ Indicates that this option is not selected If there is more than one sub item it indicates that none of them is selected 2 8 DPM Central Station Operator s Manual List Box Title Alarm Para ECG LOST PVCs Scroll bar ST ST2 ST ST Il ST Ill ST aVR ST aVL ST aVF ST 1 A list of options The list box contains a list of options from which the user can select one or more If there are too many options to be displayed in the list box you can use the scroll bar to display the hidden options Drop down List Box Drug A n Down arrow Drug B Drug Drug D Drug E AMTNOPHYLLINE DOBUTAMINE DOPAMINE EPTINEPHRTNE HEPARIN Drop down list The drop down list box has a down arrow button next to it which can b
170. utton Click the New Calc button to input new parameter values and create a new calculation Delete To delete the unnecessary or incorrect calculations 1 Select the time corresponding to the calculation you want to delete from the Calculated Results List 2 Click the Delete button below the Calculated Results List 3 Select Yes in the message box The calculation will be deleted DPM Central Station Operator s Manual 10 3 10 2 Hemodynamics Calculation Clicking the Hemo Calcs tab will enter the tab sheet The Calculated Results List shows the time corresponding to a maximum of 100 calculations The Input Item area allows you to enter parameter values and the Calculated Results area is to display calculations In this tab sheet you can NW Calculate Save results Delete Print Record Save as For details about Record Print and Save as refer to chapter 11 Record Print and Save as Calculate To calculate a value 1 Input parameter values needed into the Input Item area 2 Click the Calc button The calculations of other parameters will be displayed in the Calculated Results area Values which are beyond the normal range will be displayed on a yellow background NWARNING o Be sure to input correct parameter values The user must verify the correctness of the calculations displayed on the screen before using them We assume
171. uxiliary display if not the two screens will both show multibed screen If a central station is equipped with four displays select the option of 1 X 4 or 2 X 2 for Display Layout to change the cursor moving mode DPM Central Station Operator s Manual E When the four displays are arranged in a line select 1 X 4 You can move the cursor from current display to its neighboring diplays as shown in Figure 12 1 Figure 12 1 Cursor Moving Mode 1 lt 4 NW When two displays are stacked on the other two displays select 2 X2 You can move the cursor from current display to its neighboring displays as shown in Figure 12 2 Figure 12 2 Cursor Moving Mode 2x2 NOTE e The display setting changes will take effect after the central station restarts Multibed Display M Select deselect the check box before Measurement Units to show hide parameter units on the multibed screen M Select deselect the check box before Patient Name to show hide patient name on the multibed screen E In Name Displaying Hotkey you can set the hotkey which can be used to display name in the first waveform area of patient window on the multibed screen The default hotkey is F9 If the check box before Patient Name is not selected the patient s name displays when you press the hotkey and the name does not display after 30 seconds or when you press the hotkey again E In Change t
172. ve as Modify patient information For details about sweep speed refer to 9 1 3 3 Full Size Waveform Review Full Size Waveform Review Screen For details about record print and save as refer to chapter 11 Record Print and Save as NOTE eo In the 12 lead Review tab sheet there is no caliper measurement area PR QRS RR and QT cannot be measured Viewing 12 Lead Analysis Waveforms 12 Lead analysis waveforms will be displayed on the right side by selecting an analysis result and clicking the Waveforms button You can move the vertical scroll bar to view the waveforms To view the analysis results click the List button Deleting a Result You can delete an analysis result by selecting 1t and then clicking the Delete button For details about record print and save as refer to chapter 11 Record Print and Save as DPM Central Station Operator s Manual 9 19 Modifying Patient Information 9 1 If the Glasgow algorithm is used for 12 lead ECG analysis in the bedside monitor you can modify the patient information by clicking the Patient Info button in 12 Lead Review tab sheet The editable patient information includes patient ID last first name technician and physician The modified information will be updated in 12 lead analysis report strip and saved file The change of patient ID first name or last name will also be updated in patient management 7
173. ve to manually refresh the screen Clicking the Refresh button will open a dialog box through which you can input a start time and then select OK to reload data After refreshing the select status and order of parameters remain unchanged DPM Central Station Operator s Manual 9 3 9 1 3 Waveform Review The central station stores 240 hours of waveform data for each patient 9 1 3 1 Overview In the Waveform Review window you can review compressed or full size waveforms as required 9 1 3 2 Compressed Waveform Review Compressed Waveform Review Screen Click the Waveform Review tab to open the following window through which you can review the patient s latest 240 hours of waveform data In the single screen mode up to 10 lines of compressed waveforms are displayed In the dual or multi screen mode up to 32 lines of compressed waveforms are displayed xx DAMAS ANNAN AM MAMA NAAA AMM Y ALAS ETA AS AS EAT TS LTL ee NA NN N NAM NANN ANNAN NANA NN DANNY NN NANA MN NN DAN NN l 2 3 4 5 6 1 Time scale 2 Compressed waveform area 3 Uncompressed waveform area 4 Cursor time area 5 Cursor 6 Time bar Figure 9 2 Compressed waveform review E Time Scale Displays the time to which the waveform group in the compressed waveform area corresponds E Compressed Waveform Area Displays compressed
174. veform storage settings are cleared and the waveform configurations restore to the system defaults Refer to 6 2 2 Spot Patient Windows for the definition of idle sector 5 6 Switching Patient Windows To exchange patient windows on the central station click the drop down menu in the patient window and select Move Zone to then select desired bed number 5 8 DPM Central Station Operator s Manual 5 7 Changing to Idle Sector In a patient wndow with no patient admitted click the drop down menu and select Change to idle sector then confirm the action in the pop up window The patient window will be released as an idle sector An idle sector indicates that the patient window is not bound with a specific monitor Once a sector 1s idle it is available for a new patient admission where it will be assigned to a monitor NOTE o Whether the No Patient Admitted or patient transferred patient window can be set to an idle sector is dependent on the setting in Display Setup in the Admin Setup menu Refer to 12 2 2 Multibed Display eo When you select the option Change to Idle Sector the settings for this patient window restore to the defaults 5 8 Transferring a Patient During monitoring a patient may be transferred from one bed source bed to another destination bed Transferring a patient ensures that the patient will continue to be monitored Once transferred the patient will be monitored at
175. view tab sheet 2 Click the Save As button The Save As dialog box will be displayed 3 Select a disk driver name and click OK The 12 lead analysis result list will be saved 12 Lead Analysis Waveforms 1 Enters the 12 lead Review tab sheet 2 Click the Wave button after an analysis result is selected 3 Click the Save As button The Save As dialog box will be displayed 4 Select a disk driver name and click OK The 12 lead analysis waveforms will be saved DSA Graph 1 Enter the BIS Expand View tab sheet 2 Click the Display button and select DSA from the pop up drop down menu 3 Click the Save As button 4 Select a disk driver name and click OK The DSA graph will be saved 11 22 DPM Central Station Operator s Manual 1 2 System Setup 12 1 General Setup Clicking the System Setup will access a tab sheet The central station has three levels of setup E Low level General Setup E Medium level Admin Setup NW High level Factory Setup Certain authority is required if you want to modify some system configurations or execute certain operations The user with lower authority cannot modify the configuration of the user with higher authority but the user with higher authority can modify the setups of the user with lower authority When the system starts the default setup is the General Setup The
176. waveforms If some waveform signals are not detected within a specific time period square waves are displayed 9 4 DPM Central Station Operator s Manual E Uncompressed Waveform Area Displays the full size of the corresponding compressed waveform where the cursor is located or displays the patient s parameter information Displays the time where the cursor is located Cursor Time Area Cursor By moving the cursor you can select 12 seconds of compressed waveforms The waveform data contains 6 seconds before the cursor time and 6 seconds after the cursor time Same functions with that in the full size waveform review Refer to 9 1 3 3 Normal Waveform Review Normal Waveform Review Window Compressed Waveform Operation In the compressed waveform review window you can For details about Print and Save as refer to chapter 11 Record Print and Save as DPM Central Station Operator s Manual Time Bar Select waveforms to be saved Select waveforms Mark arrhythmia View arrhythmia statistic Refresh Show hide parameter Zoom ICP waveform scale Print Save as 9 5 9 6 E Selecting waveforms to be saved Click the Wave Save button to select the desired waveforms to be saved for each patient 1 Select a patient from Patient Info list 2 Select the waveforms to be saved for this patient from the Waveform list 3 Repeat Step and Step 2 to select waveforms to be saved for other patient
177. way The central station will automatically search for the patient If the patient 1s found the patient information will automatically be updated to the central station NOTE eo For the definition of patient keywords refer to eGateway Integration Manager Installation Guide P N 046 002447 00 if configured with eGateway DPM Central Station Operator s Manual 5 5 5 3 Patient Information Synchronization When the central station 1s associated with a HIS system the central station will automatically and instantly synchronize and update the patient information with the HIS system 5 4 Modifying Patient Information 5 6 There are two ways to modify patient information W Modify patient information through the monitor For more information refer to the monitor s operator s manual E Modify patient information through the central station When the network is properly connected either party the monitor or the central station will inform the other party the central station or the monitor to make modifications accordingly so that the patient information is kept consistent between the monitor and the central station For telemetry patient monitoring the patient information can only be modified from the central station To modify patient information 1 Open the Patient Mgmt tab sheet To open the Patient Mgmt tab sheet you can click the spot patient window or the block in non spot patient wind

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