PM-9000 Express Patient Monitor Operation Manual ver 2.0

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties. 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, rent, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

and

are the registered trademarks or trademarks owned by

Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners. Contents of this manual are subject to changes without prior notice.

© 2005 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

I

Manufacturer’s Responsibility

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual. Mindray is responsible for safety, reliability and performance of this product only in the condition that: !

All installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray authorized personnel; and

!

The electrical installation of the relevant room complies with the applicable national and local requirements; and

!

This product is operated under strict observance of this manual.

Warranty This warranty is exclusive and is in lieu of all other warranties, expressed or implied, including warranties of merchantability or fitness for any particular purpose.

Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel. This warranty shall not extend to !

Any Mindray product which has been subjected to misuse, negligence or accident; or

!

Any Mindray product from which Mindray's original serial number tag or product identification markings have been altered or removed; or

!

Any product of any other manufacturer.

II

Return Policy

In the event that it becomes necessary to return a unit to Mindray, follow the instructions below. 1.

Obtain a return authorization.

Contact the Mindray Service Department and obtain a Mindray Customer Service Authorization Number. The Mindray Customer Service Authorization Number must appear on the outside of the shipping container. Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible. Please provide the model number, serial number, and a brief description of the reason for return. 2.

Freight policy

The customer is responsible for freight charges when this product is shipped to Mindray for service (including any relevant customs fees or other freight related charges). 3.

Return address

Please send the part(s) or equipment to the address offered by Customer Service Department.

III

Contact Information

Manufacturer:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address:

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

Tel:

+86 755 26522479

+86 755 26582888

Fax:

+86 755 26582500

+86 755 26582501

Website:

www.mindray.com.cn

EC-Representative:

Shanghai International Holding Corp. GmbH (Europe)

Address:

Eiffestraße 80, 20537 Hamburg Germany

Tel:

0049-40-2513175

Fax:

0049-40-255726

IV

Contents

Intellectual Property Statement... I Manufacturer’s Responsibility...II Warranty... II Exemptions... II Return Policy ... III Contact Information ... IV Contents ...V Preface...1 Manual Purpose...1 Intended Audience...1 Version Information ...1 Illustrations and Names...2 Conventions ...2

1

Safety ... 1-1 1.1

1.2 1.3 1.4

2

Safety Information ... 1-2 1.1.1 Dangers ... 1-3 1.1.2 Warnings... 1-3 1.1.3 Cautions... 1-4 1.1.4 Notes ... 1-5 Equipment Symbols ... 1-6 CE Marking... 1-8 Reference Literature... 1-9

The Basics ... 2-1 2.1

Monitor Description ... 2-2 V

Contents

2.2

2.3 2.4 2.5

3

Installation and Maintenance... 3-1 3.1

3.2

4

2.1.1 Intended Use... 2-2 2.1.2 Contraindications ... 2-3 2.1.3 Components... 2-3 2.1.4 Functions ... 2-3 External Appearance ... 2-5 2.2.1 Front Panel ... 2-5 2.2.2 Side Panel... 2-6 2.2.3 Rear Panel ... 2-8 Control Panel... 2-10 Display ... 2-12 Batteries ... 2-15 2.5.1 Battery Maintenance ... 2-16 2.5.2 Battery Recycling... 2-17

Installation... 3-2 3.1.1 Unpacking and Checking ... 3-2 3.1.2 Environmental Requirements ... 3-3 3.1.3 Power Source Requirements ... 3-3 3.1.4 Bracket Mounting... 3-3 3.1.5 Installation Method ... 3-4 3.1.6 Powering on the Monitor... 3-8 3.1.7 Powering off the Monitor ... 3-8 Maintenance ... 3-9 3.2.1 Inspection ... 3-9 3.2.2 Cleaning ... 3-10 3.2.3 Disinfection and Sterilization ...3-11

System Menu ... 4-1 4.1 4.2

4.3 4.4

Overview... 4-2 Patient Setup... 4-4 4.2.1 Admit Patient ... 4-5 4.2.2 Quick Admit Patient ... 4-7 4.2.3 Modify Patient... 4-7 4.2.4 Discharge Patient... 4-7 Default Setup... 4-9 System Setup... 4-10 4.4.1 Face Select ...4-11 VI

Contents

4.5 4.6 4.7

4.8

5

Face Selection ... 5-1 5.1 5.2 5.3 5.4 5.5 5.6

6

4.4.2 Alarm Setup ... 4-12 4.4.3 Time Setup ... 4-13 4.4.4 Recorder Setup ... 4-14 4.4.5 Data Output ... 4-16 4.4.6 Analog Output ... 4-17 4.4.7 Module Setup ... 4-18 4.4.8 Trace Setup... 4-19 4.4.9 Mark Event... 4-20 Selection Setup... 4-21 Monitor Version ... 4-22 Maintenance ... 4-24 4.7.1 IP Address Setup ... 4-27 4.7.2 Wireless Net Setup ... 4-27 4.7.3 Self Definition of Color... 4-28 4.7.4 Nurse Call Setup ... 4-29 4.7.5 CO2 User Maintain ... 4-31 4.7.6 Monitor Status ... 4-31 DEMO Function... 4-32

Standard Screen... 5-2 Trend Screen ... 5-3 OxyCRG Screen... 5-4 Viewbed Screen... 5-5 Large Font Screen ... 5-8 Standby Mode ... 5-9

Alarms ... 6-1 6.1

6.2

6.3

Overview... 6-2 6.1.1 Alarm Categories... 6-2 6.1.2 Alarm Levels... 6-3 Alarm Modes... 6-4 6.2.1 Visual Alarms ... 6-4 6.2.2 Audible alarms ... 6-4 6.2.3 Alarm Messages ... 6-5 6.2.4 Parameter Flashes... 6-5 Alarm Statuses ... 6-6 6.3.1 Alarms Disabled... 6-6 VII

Contents

6.4 6.5 6.6

7

Freezing Waveforms ... 7-1 7.1 7.2 7.3 7.4 7.5

8

Overview... 8-2 Recording Types... 8-2 Recorder Operations... 8-5 Installing Recorder Paper ... 8-9

Recall ... 9-1 9.1 9.2 9.3 9.4 9.5 9.6

10

Overview... 7-2 Freezing and Unfreezing ... 7-2 FROZEN Menu... 7-3 Waveform Recall... 7-4 Recording Frozen Waveforms... 7-4

Recording... 8-1 8.1 8.2 8.3 8.4

9

6.3.2 Alarms Paused... 6-7 6.3.3 System Silenced ... 6-7 6.3.4 Alarms Silenced ... 6-7 6.3.5 Status Switchover... 6-8 Latching Alarms ... 6-9 Clearing Alarms ... 6-10 When an Alarm Occurs ...6-11

Overview... 9-2 Trend Graph Recall ... 9-3 Trend Table Recall ... 9-5 NIBP Recall... 9-7 Alarm Event Recall ... 9-8 Non-Volatile Data Storage... 9-10

Drug Calculation ... 10-1 10.1 Drug Calculation ... 10-2 10.2 Titration Table ... 10-5 VIII

Contents

11

ECG/RESP Monitoring ... 11-1 11.1 Overview...11-2 11.1.1 ECG Waveform ...11-2 11.1.2 ECG Parameters ...11-4 11.2 ECG Monitoring Procedure ...11-5 11.2.1 Preparation ...11-5 11.2.2 Electrode Placement...11-6 11.3 ECG Setup Menu ...11-12 11.4 ST Analysis ...11-20 11.4.1 Overview ...11-20 11.4.2 ST Analysis Menu ...11-20 11.5 Arrhythmia Analysis ...11-24 11.5.1 Overview ...11-24 11.5.2 Arrhythmia Analysis Menu ...11-25 11.5.3 Arrhythmia Alarm Setup ...11-26 11.5.4 Arrhythmia Recall ...11-27 11.6 ECG 12-Lead Monitoring ...11-29 11.6.1 General ...11-29 11.6.2 Monitoring Procedure ...11-30 11.6.3 ECG Setup Menu for 12-Lead Monitoring ...11-33 11.6.4 Data Review ...11-40 11.7 RESP Monitoring ...11-42 11.7.1 Overview ...11-42 11.7.2 Electrode Placement...11-43 11.7.3 Respiration Setup ...11-44 11.8 Maintenance and Cleaning ...11-46

12

SpO2 Monitoring ... 12-1 12.1 Overview... 12-2 12.2 Mindray SpO2 Module ... 12-4 12.2.1 Principles of Operation... 12-4 12.2.2 Precautions ... 12-5 12.2.3 Monitoring Procedure ... 12-6 12.2.4 Measurement Limitations... 12-8 12.2.5 SpO2 Setup Menu ... 12-9 12.3 Masimo SpO2 Module... 12-12 12.3.1 Principles of Operation... 12-12 12.3.2 Precautions ... 12-14 IX

Contents 12.3.3 Monitoring Procedure ... 12-16 12.3.4 Measurement Limitations... 12-16 12.3.5 SpO2 Setup Menu ... 12-17 12.3.6 Sensors and Accessories... 12-19 12.3.7 Masimo Information... 12-22 12.4 Nellcor SpO2 Module... 12-23 12.4.1 Principles of Operation... 12-23 12.4.2 Precautions ... 12-25 12.4.3 Monitoring Procedure ... 12-26 12.4.4 Measurement Limitations... 12-27 12.4.5 SpO2 Setup Menu ... 12-28 12.4.6 Accessories... 12-30 12.4.7 Nellcor Information... 12-32

13

NIBP Monitoring... 13-1 13.1 Overview... 13-2 13.2 Monitoring Procedure ... 13-3 13.2.1 Cuff Selection and Placement ... 13-3 13.2.2 Operation Guides... 13-4 13.3 Measurement Limitations... 13-6 13.4 NIBP Setup Menu ... 13-7 13.4.1 Calibration... 13-9 13.4.2 Testing for Air Leakage... 13-10 13.5 Maintenance and Cleaning ...13-11

14

TEMP Monitoring... 14-1 14.1 14.2 14.3 14.4

15

Overview... 14-2 Measurement Procedure... 14-3 TEMP Setup Menu... 14-4 Maintenance and Cleaning ... 14-6

IBP Monitoring ... 15-1 15.1 Overview... 15-2 15.2 Precautions ... 15-3 15.3 Monitoring Procedure ... 15-4 X

Contents 15.4 IBP Menu ... 15-5 15.4.1 IBP Setup Menu ... 15-5 15.4.2 IBP Pressure Zero Menu ... 15-8 15.4.3 IBP Pressure Calibration ...15-11 15.5 Maintenance and Cleaning ... 15-14 15.6 ICP Transducer ICT/B... 15-16 15.6.1 Introduction ... 15-16 15.6.2 Precautions ... 15-17 15.6.3 Calibration and Zeroing ... 15-18 15.6.4 Application of ICT/B ... 15-20 15.6.5 Maintenance and Cleaning ... 15-23 15.6.6 Frequently Asked Questions... 15-26

16

CO Monitoring ... 16-1 16.1 Overview... 16-2 16.2 Measurement Procedure... 16-3 16.2.1 Window for CO Measurement ... 16-5 16.2.2 Blood Temperature Monitoring... 16-8 16.3 CO Setup Menu... 16-9 16.4 Hemodynamic Calculation...16-11 16.5 Maintenance and Cleaning ... 16-13

17

CO2 Monitoring... 17-1 17.1 Overview... 17-2 17.2 Mindray CO2 Module... 17-3 17.2.1 Principles of Operation... 17-3 17.2.2 Preparations for CO2 Measurement... 17-4 17.2.3 CO2 Setup Menu ... 17-6 17.2.4 CO2 User Maintain Menu... 17-10 17.2.5 Maintenance and Cleaning ... 17-12 17.3 Oridion CO2 Module ... 17-13 17.3.1 Principles of Operation... 17-13 17.3.2 Preparations for CO2 Measurement... 17-14 17.3.3 CO2 Setup Menu ... 17-15 17.3.4 CO2 User Maintain Menu... 17-19 17.3.5 Maintenance and Cleaning ... 17-21 17.3.6 Oridion Information ... 17-21 17.4 Welch Allyn CO2 Module ... 17-22 XI

Contents 17.4.1 Principles of Operation... 17-22 17.4.2 Preparations for CO2 Measurement... 17-23 17.4.3 CO2 Setup Menu ... 17-24 17.4.4 Maintenance and Cleaning ... 17-28

18

Anesthesia Gas Monitoring ... 18-1 18.1 18.2 18.3 18.4

19

Overview... 18-2 Measurement Principles and Procedure ... 18-4 AG Setup Menu... 18-6 Maintenance and Cleaning ... 18-10

Accessories ... 19-1 19.1 ECG Accessories... 19-2 19.2 SpO2 Accessories ... 19-4 19.2.1 Mindray SpO2 Accessories... 19-4 19.2.2 Masimo SpO2 Accessories ... 19-5 19.2.3 Nellcor SpO2 Accessories... 19-5 19.3 NIBP Accessories ... 19-6 19.4 TEMP Accessories ... 19-7 19.5 IBP Accessories... 19-8 19.6 CO Accessories ... 19-9 19.7 CO2 Accessories ... 19-10 19.7.1 Mindray CO2 Accessories ... 19-10 19.7.2 Oridion CO2 Accessories... 19-10 19.7.3 Welch Allyn CO2 Accessories ...19-11 19.8 AG Accessories ... 19-12

20

Appendices... 20-1 Appendix A Product Specifications... 20-2 A.1 Safety Classifications ... 20-2 A.2 Environmental Specifications... 20-3 A.3 Power Source Specifications ... 20-4 A.4 Hardware Specifications ... 20-5 A.5 Wireless network... 20-6 A.6 Data Storage ... 20-6 XII

Contents A.7 Signal Output Specifications ... 20-7 A.8 ECG Specifications ... 20-8 A.9 RESP Specifications... 20-10 A.10 SpO2 Specifications...20-11 A.11 NIBP Specifications ... 20-13 A.12 TEMP Specifications... 20-14 A.13 IBP Specifications ... 20-15 A.14 CO Specifications... 20-16 A.15 CO2 Specifications ... 20-17 A.16 AG Specifications ... 20-20 Appendix B EMC ... 20-22 Appendix C Alarm Messages and Prompt Information... 20-27 C.1 Physiological Alarm Messages... 20-27 C.2 Technical Alarm Messages... 20-28 C.3 Prompt Messages... 20-40 Appendix D Optional Functions ... 20-43 Appendix E Symbols and Abbreviations... 20-45 E.1 Symbols... 20-45 E.2 Abbreviations ... 20-47

XIII

Contents

FOR YOUR NOTES

XIV

Preface

Manual Purpose This manual provides the instructions necessary to operate the PM-9000 Express Patient Monitor (hereinafter called as this monitor) in accordance with its function and intended use. Observance of this manual is a prerequisite for proper performance and correct operation, and ensures patient and operator safety. This manual is written based on the maximum configuration. Part of this manual may not apply to your monitor. If you have any question about the configuration of your monitor, please contact our Customer Service. This manual is an integral part of and should always be kept close to the patient monitor, so that it can be obtained conveniently when necessary.

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

Version Information This manual has a version number. This version number changes whenever the manual is updated due to software or technical specification change. Content of this manual is subject to change without prior notice. The version information of this manual is as follows. Version number

Release date

2.0

2005-11-1

1

Preface

Illustrations and Names All illustrations in this manual are provided as examples only. They may not necessarily accord with the graph, settings or data displayed on your patient monitor. All names appeared in this manual and illustrations are fictive. It is a mere coincidence if the name is the same with yours.

Conventions !

Italic text is used in this manual to quote the referenced chapters or sections.

!

The terms danger, warning, and caution are used throughout this manual to point out hazards and to designate a degree or level or seriousness.

2

1

Safety 1.1

1.2 1.3 1.4

Safety Information ... 1-2 1.1.1 Dangers ... 1-3 1.1.2 Warnings... 1-3 1.1.3 Cautions... 1-4 1.1.4 Notes ... 1-5 Equipment Symbols ... 1-6 CE Marking... 1-8 Reference Literature... 1-9

1-1

Safety

1.1

Safety Information The safety statements presented in this chapter refer to the basic safety information that the operator of the patient monitor 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.

DANGER #

Indicates an imminent hazard situation that, if not avoided, will result in death or serious injury.

WARNING #

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

CAUTION #

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

NOTE #

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

1-2

Safety

1.1.1

Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this operation manual.

1.1.2

Warnings

WARNING #

The device is intended for use by qualified clinical physicians or well-trained nurses in the specified places.

#

To ensure patient safety, verify the device and accessories can function safely and normally before use.

#

EXPLOSION HAZARD: Do not use this device in the presence of flammable anesthetics, explosive substances, vapors or liquids.

#

You must customize the alarm settings according to the individual patient situation, and make sure the alarm sound is activated when an alarm occurs.

#

ELECTRIC SHOCK: Do not open the monitor housing. All servicing and future upgrades to this device must be carried out by personnel trained and authorized by our company only.

#

DEFIBRILLATION: Do not come into contact with the patient during defibrillation. Otherwise serious injury or death could result.

#

When used in conjunction with electro-surgery equipment, you must give top priority to the patient safety.

#

DISPOSE: Dispose of the package material, observing the applicable waste control regulations and keeping it out of children’s reach.

#

The device must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect the monitor from the power line and operate it on battery power, if possible.

1-3