Product Information

 Product Model: V9
 Product Name: Patient Monitor
 Manufacturer: Guangdong Biolight Meditech Co., Ltd.
 After Service Contact Information:
Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech
Zone, Zhuhai, P.R. China
Fax: +86-756-3399919
Postcode: 519085
Toll-free consultation hot line: +86-400-8818-233

Revision History
This manual has a revision number. This revision number changes
whenever the manual is updated due to software or technical specification
change. Contents of this manual are subject to change without prior notice.
 Document No.: J/V9CE-A-008
 Revision number:V1.0
 Release time:Jan.2018
Copyright © 2018 Guan gdong Biolight Meditech Co., Ltd. All rights reserved.

CE mark

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

EC Representative Address:
Eiffestraβe 80, 20537 Hamburg Germany

Statement
Manufacturer holds the copyright of this manual, and we are also entitled
to deal with this manual as confidential files. This manual is only used for

I
operation, maintenance and service of product, someone else can not publish
the manual.
This manual contains exclusive information protected by copyright laws
and we reserve its copyright. Without written approval of manufacturer no
parts of this manual shall be photocopied, Xeroxed or translated into other
languages.
The contents contained in this manual are subject to amendments without
notification.

Manufacturer's Responsibility
Only under the following circumstances will manufacturer be responsible
for the safety, reliability and performance of the instrument:
All the installation, expansion, readjustment, renovation or repairs are
conducted by the personnel certified by manufacturer.
The storage condition, operation condition and electrical status of the
instrument conform to the product specification.
The instrument is used in accordance with the user’s manual.

About this manual

This manual contains the instructions necessary to operate the product
safely and in accordance with its function and intended use. Observance of this
manual is a prerequisite for proper product performance and correct operation
and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some
contents may not apply to your product. If you have any question, please
contact us.
This manual is an integral part of the product. It should always be kept
close to the equipment so that it can be obtained conveniently when needed.
The manual is geared for clinical professionals who are expected to have a
working knowledge of medical procedures, practiced and terminology as
required for monitoring patients.
All illustrations in this manual serve as examples only. They may not
necessarily reflect the setup or data displayed on your product.

II
Conventions:
Bold Italic text is used in this manual to quote the referenced chapter or
sections.
【】is used to enclose screen texts.
→ is used to indicate operational procedures.
Signs in this manual：

 Warning: Indicates a potential hazard or unsafe practice that, if not

avoided, will 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.

III
 Contents
Chapter 1 General Introduction ............................................................................ 1-1 
1.1 Intended Use .......................................................................................................................... 1-1 
1.2 Restrictions for Use ................................................................................................................ 1-1 
1.3 Configurations........................................................................................................................ 1-2 
1.4 Main Unit ............................................................................................................................... 1-3 
1.5 Equipment Symbols ............................................................................................................... 1-7 
1.6 Packaging Symbols ................................................................................................................ 1-8 
Chapter 2 Safety ...................................................................................................... 2-1 
2.1 Safety Information ................................................................................................................. 2-1 
2.2 General Safety ........................................................................................................................ 2-3 
2.3 Important Notes for Safety ..................................................................................................... 2-4 
2.4 Safe Operation Conditions ..................................................................................................... 2-7 
Chapter 3 Operations ............................................................................................. 3-1 
3.1 Unpacking and Checking Contents ........................................................................................ 3-1 
3.2 Getting Started ....................................................................................................................... 3-2 
3.3 Starting Monitoring ................................................................................................................ 3-3 
3.4 Shutting off the Monitor......................................................................................................... 3-3 
3.5 Operation Profiles .................................................................................................................. 3-3 
3.6 Screen Display ....................................................................................................................... 3-3 
3.7 Clinician Management ........................................................................................................... 3-6 
3.8 Advance Setup ....................................................................................................................... 3-6 
Chapter 4 Patient Management ............................................................................. 4-1 
4.1 Adding a Patient ..................................................................................................................... 4-1 
4.2 Patient Management ............................................................................................................... 4-2 
Chapter 5 Measurement ......................................................................................... 5-4 
5.1 SpO2 Measurement ................................................................................................................ 5-4 
5.2 PR Measurement .................................................................................................................... 5-8 
5.3 NIBP Measurement ................................................................................................................ 5-1 
5.4 CO2 Measurement ................................................................................................................. 5-9 
5.5 Temperature Measurement................................................................................................... 5-16 
5.6 Nurse Call ............................................................................................................................ 5-19 
Chapter 6 Alarms .................................................................................................... 6-1 
6.1 Alarm Categories ................................................................................................................... 6-1 

IV
6.2 Alarm Levels .......................................................................................................................... 6-2 
6.3 Alarm Indicators .................................................................................................................... 6-2 
6.4 Alarm Icons ............................................................................................................................ 6-4 
6.5 Setting Alarm Volume ........................................................................................................... 6-5 
6.6 Alarm Parameters ................................................................................................................... 6-5 
6.7 Pausing Alarms ...................................................................................................................... 6-6 
6.8 Acknowledging Alarms ......................................................................................................... 6-6 
6.9 Alarm Reset............................................................................................................................ 6-7 
6.10 Alarm Volume Off and On .................................................................................................. 6-7 
6.11 Reminder Signal ................................................................................................................... 6-7 
6.12 Resetting Alarm Limit.......................................................................................................... 6-8 
6.13 Alarm History ...................................................................................................................... 6-8 
Chapter 7 Reviewing............................................................................................... 7-1 
7.1 Reviewing Patient Measurements .......................................................................................... 7-1 
7.2 Deleting Patient Data ............................................................................................................. 7-1 
7.3 Print Patient Data ................................................................................................................... 7-1 
7.4 Send Patient Data ................................................................................................................... 7-1 
Chapter 8 Battery ................................................................................................... 8-1 
8.1 Introduction ............................................................................................................................ 8-1 
8.2 Installing a Battery ................................................................................................................. 8-2 
8.3 Optimizing Battery Performance ........................................................................................... 8-2 
8.4 Checking Battery Performance .............................................................................................. 8-2 
8.5 Disposing of Battery .............................................................................................................. 8-3 
Chapter 9 Maintenance and Cleaning .................................................................. 9-1 
9.1 Introduction ............................................................................................................................ 9-1 
9.2 Cleaning the Monitor ............................................................................................................. 9-1 
9.3 Cleaning and Disinfection of Accessories ............................................................................. 9-2 
9.4 Maintenance and Replace of the Accessories ........................................................................ 9-3 
Chapter 10 Accessories ......................................................................................... 10-1 
10.1 SpO2 .................................................................................................................................. 10-1 
10.2 NIBP .................................................................................................................................. 10-2 
10.3 CO2 (LoFlo)....................................................................................................................... 10-3 
10.4 Temp .................................................................................................................................. 10-3 
Appendix A Product Specifications .......................................................................... 1 

V
A.1 Safety Specifications ................................................................................................................ 1 
A.2 Environmental Specifications .................................................................................................. 1 
A.3 Physical Specifications............................................................................................................. 2 
A.4 Power Specifications ................................................................................................................ 2 
A.5 Hardware Specifications .......................................................................................................... 2 
A.6 Measurement Specifications .................................................................................................... 5 
Appendix B Factory Defaults .................................................................................. 12 
B.1 Date /Time .............................................................................................................................. 12 
B.2 Alarm ...................................................................................................................................... 12 
B.3 Optional .................................................................................................................................. 12 
B.4 PR ........................................................................................................................................... 13 
B.5 SpO2 ....................................................................................................................................... 13 
B.6 NIBP ....................................................................................................................................... 13 
B.7 CO2 ........................................................................................................................................ 13 
B.8 Temp....................................................................................................................................... 13 
B.9 Other ....................................................................................................................................... 14 
B.10 Data ...................................................................................................................................... 14 
B.11Network ................................................................................................................................. 14 
Appendix C Alarm Messages .................................................................................. 15 
Appendix D Guidance and Manufacturer’s Declaration of EMC ...................... 17 
Appendix E Troubleshooting .................................................................................. 23 
E.1Normal Trouble ....................................................................................................................... 23 
E.2Prompt Information ................................................................................................................. 24 

VI
 Patient Monitor User’s Manual

Chapter 1 General Introduction

1.1 Intended Use
The monitor is intended to be used for monitoring, displaying, reviewing, storing
and sending alarms regarding multiple physiological patient parameters, including
Pulse Oxygen Saturation (SpO2), Pulse Rate (PR), Non-invasive Blood Pressure
(NIBP), Temperature (Temp) and Carbon dioxide (CO2).
The monitor is intended to be used in outpatient departments, emergency
treatment rooms, and low-acuity areas of hospitals, community clinics, private clinics
and other medical institutions. It is not intended for helicopter transport, hospital
ambulance or home use.

 Warning: The monitor 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 operations on it.

1.2 Restrictions for Use

 Do not use the monitor and the SpO2 sensor during magnetic resonance
imaging (MRI). Induced current could cause burns.
 Operating high frequency electrosurgical equipment in the vicinity of the
monitor may produce interference and cause incorrect measurements.
 The following factors may influence the accuracy of SPO2 measurements:
 Exposure to excessive illumination, such as surgical lamps (especially ones
with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating
lamps or direct sunlight (exposure to excessive illumination can be corrected
by covering the sensor with a dark or opaque material);
 Electromagnetic interference, such as from an MRI device;
 Excessive patient movement;
 Intravascular dyes such as indocyanine green or methylene blue;
 Significant levels of dysfunctional hemoglobins (such as carboxy hemoglobin
or methemoglobin);
 Incorrect sensor application or use;

1-1
 Patient Monitor User’s Manual

 Placement of a sensor on an extremity with a blood pressure cuff, arterial

catheter or intravascular line;
 Low perfusion;
 Electrosurgical units.
 Do not use the SpO2 sensor on the same limb being used for NIBP
measurement. This may result in inaccurate SpO2 reading due to blocked
blood flow during cuff inflation.
 Do not measure SpO2 on a finger painted with nail polish. This may result in
unreliable measurements.
 Do not measure NIBP on patients with sickle-cell disease or any condition in
which skin damage has occurred or is expected.
 Use clinical judgment to decide whether to perform frequent Auto BP
measurements on patients with severe blood clotting disorders because of the
risk of hematoma in the limb fitted with the cuff.
 Use clinical judgment to decide whether to perform Auto BP measurement on
patients with thrombasthemia.
 Do not use the NIBP cuff on a limb with an intravenous infusion or arterial
catheter in place. This could cause tissue damage around the catheter when the
infusion is slowed or blocked during cuff inflation.
 NIBP Measurement Limitations: Accurate NIBP measurements cannot be
taken when the heart rate is extremely low (less than 40 bpm) or extremely
high (greater than 240 bpm) or if the patient is on a heart-lung machine.
Accurate measurement also cannot be taken when the following conditions
exist:
 Excessive and continuous patient movement such as shivering or convulsions;
 Difficulty detecting a regular arterial pressure pulse;
 Cardiac arrhythmias;
 Rapid blood pressure changes;
 Severe shock or hypothermia that reduces blood flow to the peripheries;
 An edematous extremity.
 MRI may lead to vessel damage.

1.3 Configurations
The monitor consists of main unit, NIBP cuff, SpO2 sensor, CO2 measuring
module and Temperature sensor.

1-2
 Patient Monitor User’s Manual

1.4 Main Unit

1.4.1 Front View
1

10

3
9

4 5 6 7

Fig.1-1
1． Physiological alarm visual indicator LED’s. When a physiological alarm occurs,
this lamp will light up as defined below:
 High level alarm: the lamp quickly flashes red.
 Medium level alarm: the lamp slowly flashes yellow.
 Low level alarm: the lamp lights yellow without flashing.
2． Technical alarm indicating lamp
When a technical alarm occurs, this lamp will light up as defined below:
 Medium level alarm: the lamp slowly flashes yellow.
 Low level alarm: the lamp lights blue without flashing.
3． LCD Touch screen
4． SpO2 connector
5． NIBP connector
6． Battery charging indicating lamp
 On: When the battery is being charged.
 Off: When the battery is fully charged or there is no battery in monitor.

1-3
 Patient Monitor User’s Manual

7． Power button
 Press this button to turn on the monitor after AC power is connected or the
battery is installed.
 Press and hold for 3 seconds to turn the monitor off.
8． Power indicator LED. Status of the LED is specified as follows:
 Green: When the AC mains connected.
 Orange: When the AC mains not connected and monitor is powered by
battery.
 Off: When the AC mains not connected.
9． Well for 20-count Probe Cover box
10． Covidien Filac 3000 temp probe

1.4.2 Side View

Left side: Right side:

Fig.1-2

1. Print Recorder

1-4
 Patient Monitor User’s Manual

1.4.3 Rear View

2 3 4 5 6

Fig.1-3
1. CO2 Connector
2. Nurse call connector
Connect to nurse call system in hospital. When an alarm occurs, outputting the
nurse call signal to remind nurse.
3. USB socket x 2
Connect to USB device, such as mouse.
4. Wired network connector
Standard RJ45 socket. It is used for connection with the central monitoring
system provided by manufacturer.
5. AC power input connector
6. Equipotentiality terminal
Base on the requirements of safety and anti-interference, the monitor must be
connected with equipotentiality system individual. When connected together, the
various parts of an equipment or of a system will be brought to the same potential,
not necessarily being the earth (ground) potential.

1-5
 Patient Monitor User’s Manual

Warning:

 Equipment connected to the analog or digital interfaces must comply with
the respective IEC standards (e.g. IEC 60950 for data processing equipment
and IEC 60601-1 for medical equipment). Furthermore all configurations
shall comply with the current version of the standard for SYSTEMS IEC
60601-1. Everybody who connects additional equipment to the signal input
part or signal output part configures a medical system, and is therefore
responsible that the system complies with current version of the
requirements of the system standard IEC 60601-1. If in doubt, consult the
technical service department or your local representative.
 The operator could not touch these ports and the patient simultaneously.

1.4.4 Bottom View

Fig.1-4
1. Battery compartment

Caution: Clean the battery contacts regularly to ensure optimal electrical

contact. Before cleaning, power down the unit and disconnect it from A/C
power. To clean the contacts, rub with a cotton swab dampened (not
dripping wet) with isopropyl alcohol.

1-6
 Patient Monitor User’s Manual

1.5 Equipment Symbols

Symbol Symbol Note

Defibrillation-proof Type CF applied part

Defibrillation-proof Type BF applied part

Refer to instruction manual/booklet.

Non-ionizing radiation

Dangerous voltage

Equipotential grounding

USB socket

Network connector

Nurse call connector

Manufacture date

Manufacturer

Catalog Number

Batch or Lot Code

Serial number

Temperature limitation

Humidity limitation

Pressure limitation

1-7
 Patient Monitor User’s Manual

Symbol Symbol Note

IPX1 Degree of protection against ingress of liquid
SpO2 Pulse Oxygen Saturation
NIBP Non-Invasive Blood Pressure
CO2 Short for “Carbon dioxide”

Temp Temperature

Symbol for the marking of electrical and electronics devices

according to Directive 2002/96/EC.

1.6 Packaging Symbols

Symbol Symbol Note

Fragile. Handle with care.

This Side Up.

Keep dry.

Stacking layer limit, where ‘n’ represents the maximum

permissible number of layers. (N = 6).

1-8
 Patient Monitor User’s Manual

Chapter 2 Safety
2.1 Safety Information

 Warning:
 Before putting the system into operation, verify that the monitor, connecting
cables and accessories are in correct working order and operating condition.
 Please connect the monitor to a socket with protective earth. If the socket
does not have protective earth conductor, please do not use the socket and
use battery to provide power to the monitor.
 The function and network connector of the device are just connected with
the match accessory and network. When use the connector improperly,
there may be damage to the device and patient.
 Do not use device if any electrical connections become damaged, bent, or
mis-aligned.
 To avoid explosion hazard, do not use the monitor in the presence of
flammable anesthetics or other flammable substance in combination with air,
oxygen-enriched environments, or nitrous oxide.
 Do not open the monitor housings; electric shock hazard may exist. All
servicing must be performed by personnel authorized by the manufacturer
only.
 When using the monitor with electrosurgical units (ESU), make sure the
patient is safe. And the ESU must not contact with patient cable.
 Do not come into contact with the patient during defibrillation. Otherwise
serious injury or death could result.
 Do not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level or off may result in a hazard to
the patient. Remember that alarm settings should be customized according
to different patient situations and always keeping the patient under close
surveillance is the most reliable way for safe patient monitoring.
 The physiological data and alarm messages displayed on the monitor are for
reference only and cannot be directly used for diagnostic interpretation.
 To avoid inadvertent disconnection, route all cables in a way to prevent a
stumbling hazard. Wrap and secure excess cabling to avoid risk of
entanglement or strangulation by patient or personnel.

2-1
 Patient Monitor User’s Manual

 To avoid risk of electric shock, this equipment must only be connected to a

grounded power supply.
 No modification of this equipment is allowed. Do not modify this equipment
without authorization of the manufacturer. If this equipment is modified,
appropriate inspection and testing must be conducted to ensure continued
safe use of equipment.
 There will be significant risks of reciprocal interference when the device is
used in specific investigations or treatments.
 The device’s connector (including USB, network and so on) can only be
connected to the matched accessories and network server. The misuse of
them may cause damage to the device.
 Operating high frequency electrosurgical equipment in the vicinity of the
monitor may produce interference and cause incorrect measurements. When
the monitor is used with HF surgical equipment, the transducer and the
cables must be avoided conductive connection to the HF equipment to
protect against burns to the patient.

Caution:
 To ensure patient safety, use only parts and accessories specified in this
manual.
 At the end of its service life, the monitor, as well as its accessories, must be
disposed of in compliance with the guidelines regulating the disposal of such
products. If you have any questions concerning disposal of the monitor,
please contact the manufacturer.
 Magnetic and electrical fields are capable of interfering with the proper
performance of the monitor. For this reason make sure that all external
devices operated in the vicinity of the monitor comply with the relevant
EMC requirements. Mobile phone, X-ray equipment or MRI devices are a
possible source of interference as they may emit higher levels of
electromagnetic radiation.
 Before connecting the monitor to the power line, check that the voltage and
frequency ratings of the power line are the same as those indicated on the
monitor’s label or in this manual.

2-2
 Patient Monitor User’s Manual

 Always install or carry the monitor properly to avoid damage caused by drop,
impact, strong vibration or other mechanical force.

 Note:
 Put the monitor in a location where you can easily see the screen and access
the operating controls.
 Keep this manual in the vicinity of the monitor so that it can be obtained
conveniently when needed.
 The software was developed in compliance with IEC 62304. The possibility of
hazards arising from software errors is minimized.
 This manual describes all features and options. Your monitor may not have
all of them.

2.2 General Safety

 Warning: This monitor is neither a therapeutic instrument nor a device that

can be used at home.

1．Safety precautions for installation

 Connect the power cord to a properly grounded socket. Only connect device to
A/C power sockets designated for use by medical equipment.
 Avoid putting the monitor in a location where it easily shakes or wobbles.
 Enough space shall be left around the monitor so as to guarantee normal
ventilation.
 Make sure the ambient temperature and humidity are stable and avoid the
occurrence of condensation in the operation process of the monitor.

 Warning: Never install the monitor in an environment where flammable

anesthetic gas is present.

2. Monitor conforms to the safety requirements of IEC 60601-1. This monitor is

protected against defibrillation effects.
3. Notes on symbols related to safety

2-3
 Patient Monitor User’s Manual

Type CF applied part, defibrillation protected

The unit displaying this symbol contains an F-Type isolated (floating)
applied part providing a high degree of protection against shock, and is
defibrillator-proof. The type CF applied parts provide a higher degree of
protection against electric shock than that provided by type BF applied
parts.
Attention! Please refer to the documents accompanying this monitor, such
as the instruction manual.
4. When a defibrillator is applied on a patient, the monitor may have some disruption
in its display of waveforms.

 Warning: When conducting defibrillation, do not come into contact with

the patient, the bed or the monitor. Otherwise serious injury or
death could result.

5. To guarantee the safe operation of the monitor, the monitor is provided with
various replaceable parts, accessories and consumables. Please use the products
provided or designated by the manufacturer.
6. Safety and accuracy are assured only by the device and accessories provided or
designated by the manufacturer. If the monitor is connected to other undesignated
electrical equipment or devices, safety hazards and/or excessive leakage current may
occur.
7. To guarantee the normal and safe operation of the monitor, a preventive check and
maintenance should be conducted of the monitor and its parts every 6-12 months
(including performance and safety check) to verify that the instrument can be
operated safely, properly, and accurately.

Caution: The monitor does not contain any user-serviceable parts. The
repair of the instrument must be conducted by technical personnel
authorized by the manufacturer.

2.3 Important Notes for Safety

 Patient Number
The monitor can only be applied to one patient at one time.
 Interference

2-4
 Patient Monitor User’s Manual

Do not use a mobile phone in the vicinity of the monitor. High level of
electromagnetic radiation emitted from such devices may result in strong interference
with the monitor performance.
 Protection against ingress of liquid
To avoid electric shock or device malfunction, liquids must not be allowed to
enter the device. If liquids have entered the device, take it out of service and have it
checked by a service technician before it is used again.
 Accuracy
If the accuracy of any value displayed on the monitor or printed on a printout
paper is questionable, determine the patient’s vital signs by alternative means. Verify
that the equipment is working correctly.
 Alarm
Do not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level or off during patient monitoring may
result in a hazard to the patient. Remember that the most reliable method of patient
monitoring combines close personal surveillance and correct operation of monitor.
The functions of the alarm system for monitoring the patient must be verified at
regular intervals.
 Before Use
Before putting the system into operation, please visually inspect all connecting
cables for signs of damage. Damaged cables and connectors must be replaced
immediately.
Before using the system, the operator must verify that it is in correct working
order and operating condition.
Periodically, and whenever the integrity of the product is in doubt, test all
functions.
 Cables
Route all cables away from patient’s throat to avoid possible strangulation.
 Disposal of package
When disposing of the packaging material, please observe the applicable waste
control regulations and keep it out of children’s reach.
 Explosion hazard
Do not use this equipment in the presence of flammable anesthetics, vapors or
liquids.

2-5
 Patient Monitor User’s Manual

 Leakage current test

When interfacing with other equipment, a test for leakage current must be
performed by qualified biomedical engineering personnel before using with patients.
 Battery
The device is equipped with a battery. The battery discharges even when the
device is not in use. Store the device with a fully charged battery and take out the
battery, so that the service life of the battery will not be shortened.
 Disposal of accessories and device
Disposable accessories are intended for single use only. They should not be
reused as performance could degrade or contamination could occur.
The service life of this monitor is 5 years. At the end of its service life, the
monitor, as well as its accessories, must be disposed of in compliance with the
guidelines regulating the disposal of such products. If you have questions concerning
disposal of products, please contact manufacturer or its representatives.
 EMC
Magnetic and electrical fields are capable of interfering with the proper
performance of the device. For this reason, make sure that all external devices
operated in the vicinity of the monitor comply with the relevant EMC requirements.
X-ray equipment or MRI devices are a possible source of interference as they may
emit higher levels of electromagnetic radiation. Also, keep mobile phones or other
telecommunication equipment away from the monitor.
 Instruction for use
For continuous safe use of the monitor, it is necessary that listed instructions
were followed. However, instructions listed in this manual in no way can supersede
established medical practices concerning patient care.
 Loss of data
Should the monitor at any time temporarily lose patient data, close patient
observation or alternative monitoring devices should be used until monitor function is
restored.
When the AC power supply has been interrupted of the monitor, the monitor can
change to use the battery supply power.
When the monitor lost of power and has been powered off, if the monitor does
not automatically resume operation within 60s, restart the monitor using the power

2-6
 Patient Monitor User’s Manual

switch. Once monitoring is restored, you should verify correct monitoring state and
alarm function.
 Intended for use in conjunction with other medical devices
The monitor can be used together with high-frequency electrosurgical units and
defibrillators.

2.4 Safe Operation Conditions

Methods of sterilization or Sterilization: not applicable
disinfection recommended by Disinfection: Refer to Maintenance and Cleaning
the manufacturer Chapter
Electromagnetic interference Not in proximity with mobile phones
Electrosurgical interference No damage
damage
Diathermy instruments Displayed values and prints may be disturbed or
influence erroneous during diathermy
Defibrillation shocks The monitor specifications fulfill the requirements
of IEC 60601-1, IEC 60601-2-49

2-7
 Patient Monitor User’s Manual

Chapter 3 Operations
3.1 Unpacking and Checking Contents
1. Unpacking
Before unpacking, examine the packing case carefully for signs of damage. If
any damage is detected, contact the carrier. If the packing case is intact, open the
package.
2. Remove the monitor and accessories carefully.
3. Keep all the packaging materials for future use in transportation or storage.
4. Check the monitor and accessories
Check the monitor and its accessories one by one in accordance with the packing
list. Check to see if the parts have any mechanical damages. In case of problems,
please contact us or our agent.

 Warning:
 Keep the packing materials out of children’s reach. Disposal of the packing
materials should observer the applicable waste control regulations.
 The monitor might be contaminated during storage and transport. Before use,
please verify whether the packages, especially the package of disposable
accessories, are intact. In case of any damage, do not apply it to the patient.

Caution: Please put a monitor onto a horizontal and stable supporting plane.
Avoid putting the monitor in the locations where it easily shakes or
wobbles. Enough space shall be left around the monitor so as to
guarantee normal ventilation.

 Warning: Please ensure the monitor is working under specified conditions;

otherwise, the technical specifications mentioned in this manual
will not be met, thus possibly leading to damage of equipment
and other unexpected results.

3-1
 Patient Monitor User’s Manual

3.2 Getting Started

3.2.1 Inspecting the Monitor

1. Before you start to make measurements, carry out the following checks on the
monitor including all connected modules.
——Check for any mechanical damage;
——Check for any incorrect connection of all the external cables and accessories.
2. Plug the power cord into the AC power source. If you are using battery power,
ensure that the battery has sufficient power for monitoring. When you use a battery
for the first time, you must charge it, following the instructions given in Battery
chapter.

3.2.2 Starting the Monitor

1. Press the power switch, physiology alarm lamp lights up in yellow, the technical
alarm lamp will light up in cyan in turn, and goes out, afterwards the startup screen
will display.
2. After the startup screen disappears, the system clanks and enters main screen and
meanwhile the technical alarm lamp goes out.

 Warning: If the monitor is mechanically damaged, or if it is not working

properly, do not use it for any monitoring procedure on a patient.
Contact your service personnel.

Caution:
 The monitor does not have mains switch. The monitor is switched completely
only by unplugging the power cable from the AC power source. Please always
make the pulg easily to operate.
 For measurements in or near the heart we recommend connecting the
monitor to the equipotential grounding system. Use the green/yellow
equipotential grounding cable and connect it to the terminal labeled with the
symbol .

3-2
 Patient Monitor User’s Manual

3.3 Starting Monitoring

1. Decide what parameters should be monitored or measured.
2. Install required modules or sensors.
3. Check whether the installation of modules or sensors is correct.
4. Check whether all kinds of settings are correct.
5. Start monitoring on a patient. Detailed information refers to the related chapters.

3.4 Shutting off the Monitor

There are two ways to shut off the monitor:
1. Press and hold the power switch for more than 1 second. A message box will
appear asking for verification that power down is desired. Press ‘Ok’ to power down
the device.
2. Press the power switch and hold it for 5seconds to turn off the monitor without
additional prompts.

3.5 Operation Profiles

The device has three Operation Profiles for different clinical applications:
 Monitor Profile: This profile is designed for monitoring patients over time, and
includes physiological and technical alarms.
 Spot Check Profile: This profile is designed for taking a single set of vital signs
measurements on a patient. Patient information can be entered and managed, and
while technical alarms are still available, physiological alarms are disabled. Here
is an example of the home screen in Spot Check profile:
 Triage profile: This profile is designed for rapidly taking vital signs
measurements on many patients. Patient information is disabled, in addition to
physiological alarms. Here is an example of the home screen in Triage profile:
If you want to change the work mode, you can select 【SETTINGS】→
【Profile】to select the work mode you want.

3.6 Screen Display

Measurement numerics, waveforms, patient info, time and date, clinician
information, alarm information and menu can be displayed on the screen. Standard
screen is shown as follows:

3-3
 Patient Monitor User’s Manual

2 3 4
1

11

5 10

6 9

1. Clinician Information Area

a) Displays the clinician’s Full Name, Department, and ID.
b) Press anywhere in this area to open the Clinician Settings. Clinician Settings
can also be accessed from the Settings tab: 【SETTING】→【Clinician】
2. System Date and Time Area
a) Displays the current system date and time.
b) Press anywhere in this area to enter the Device Settings window where time
and date can be set. Time and Date Settings can also be accessed from the
Settings tab: 【SETTING】→【Device】→【Time】.
c) Press anywhere in this area to enter the brightness adjust menu, you can adjust
the brightness of the screen.
d) Press anywhere in this area to enter the auto standby, you can select 【on】or
【off】to set the auto standby.
3. Network Status Area
Display the current network status of the system.
4. Battery Status Area

3-4
 Patient Monitor User’s Manual

Displays the current charge status of the battery and whether or not the unit is
connected to A/C power. See Chapter 9 for more details.
5. Measurement Display and Alarm Area
 Measurement Display Area
a) Displays information about each vital signs parameter, including
measurement values, and upper and lower alarm limits.
b) Pressing on a measurement value will enlarge the information for that
parameter. Pressing on the measurement again will shrink it. Pressing on
an alarm limit box will enter the Alarm Setting window for that
parameter, where the alarm limits can be adjusted. This window can also
be accessed from the Alarm tab: 【ALARM】→【NIBP】/ 【PR】/
【SpO2】/ 【Temp】/【CO2】.

 Alarm Message Area:

Entire area displays alarm messages when physiological and technical alarms
are activated. If more than one alarm occurs, the highest level alarm will be
displayed. Alarm settings can be changed by pressing the alarm areas in each
measurement display window, or from the Alarm tab: 【ALARM】
6. Patient Information Area
Display patient information such as Name, Location, and ID.
7. Menu Tabs Area: Used to access and navigate through the device Menu.
a) MEASURE: The MEASURE tab is the default Home screen used to display
vital sign parameter information.
b) PATIENT: Used to enter, modify, and select patient information, review the
patient list, and transmit patient information. NOTE: This tab does not appear
in Triage Profile.
c) REVIEW: Used to quickly review and delete historical patient measurement
information. NOTE: This tab does not appear in Triage profile.
d) ALARM: Used to adjust alarm limits for each parameter, change alarm
volume settings, and review historical alarms. NOTE: This tab does not
appear in either Spot Check profile or Triage profile.
e) SETTINGS: Used to adjust special settings for each vital sign parameter,
enter and manage clinician information, and manage general device settings.
General device settings include Date/Time, and selection of Operation Profile.

3-5
 Patient Monitor User’s Manual

Advanced settings are also accessed from the SETTINGS tab and include
language settings, nurse call settings, and data / network setup and
maintenance. NOTE: A password is required to access Advanced settings.
8. Shortcut Icons: Used to perform specific functions on the device.
a) Shortcut key to print ;

b) Shortcut key to start/stop NIBP measurement;

c) Shortcut key to enter more menu;

d) The alarm is suspended.

9. Save button
Press to save the current measurement data for the current patient.
10. Alarm limits

3.7 Clinician Management

To enter information for a clinician:
1. Select【SETTINGS】→【Clinician】to set the clinician【ID】,【First name】,
【Last name】,【Department】
2. Select【SETTINGS】→【ADVANCED】→【DATA】→【Clinician Set】to
choose the clinician information as follows that can be displayed 【Clinician
: ID】,
【Clinician name】,【Clinician Icon】

 Note: * means this item must be input related information, or the settings
will not be effective.

3.8 Advance Setup

3.8.1 General Setting

3.8.1.1 Setting the Languages

1. Select【SETTINGS】→【ADVANCED】→【Language】 to access the language

list.
2. Select the desired Language and press【OK】save the language setting.

3-6
 Patient Monitor User’s Manual

3.8.1.2 Setting the Date and Time

 Setting the current time:

1. Select【SETTINGS】→【DEVICE】→【Settings】→【Time】.
2. Set【Year】,【Month】,【Day】,【Hour】,【Minute】to the desired value.
3. Select 【OK】to save settings.
 Setting the date/time format:
1. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【DATE/TIME】
2. Set the 【Date Format】to yyyy-mm-dd, mm-dd-yyyy or dd-mm-yyyy;
3. Set the 【Time Zone】to be GMT, GMT+1, GMT+2, GMT+3, etc.

3.8.1.3 Alarm Setup

Select【SETTINGS】→【ADVANCED】→【GENERAL】→【ALARM】
to enter the alarm setting. You can set the Alarm control, Minimum alarm volume,
Nurse call threshold, Nurse call relay type, Nurse call trigger mode, remind signal
interval. For more details about alarm, please refer Chapter6 Alarm.

3.8.1.4 DEMO Modes

1. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【DEMO】to
select demo type. There are three demo modes to choose from: Monitor profile demo,
Spot check profile demo, or Triage profile demo.
2. Select【Start】to begin the demo.

3.8.1.5 General Device Options

1. Select【SETTING】→【ADVANCED】→【GENERAL】→【OPTIONAL】
to view the list of options available.
2. Choose the desired options.
3. Select 【OK】to save settings.

3.8.2 Parameters Settings

1. Select【SETTING】→【ADVANCED】→【PARAMETERS】to enter the

parameters setting interface.
2. You can set the following parameters of NIBP, PR, SpO2, Temp and CO2 as
below:

3-7
 Patient Monitor User’s Manual

 NIBP: Select the default patient type, BP unit, alarm limit status.
 PR: Set the PR source, alarm limit status.
 SpO2: Set the Default response time, Sweep speed and alarm limit status.
 Temp: Set the unit and alarm limit status.
 CO2: Set the Sweep speed, CO2 units, Wave range, ETCO2 Time Period and
alarm limit status.
For more details about parameters setting, please refer Chapter 4 Patient
Manage.

3.8.3 Data Options

1. Select【SETTINGS】→【ADVANCED】→【DATA】to choose whether or not

the full name or abbreviation is displayed for both the Patient and the Clinician.
You can also choose to automatically send clinical information to the EMR when
saving manually, and whether or not to delete the displayed readings after the data
is sent to the EMR successfully.
2. Select【OK】to save settings.

3.8.4 Network Settings

With the network function that supports IHE protocol and connects with the HIS
system of hospital to realize data sharing:
 With the PDQ strategy, the patient information of monitor is in synchronism
with the HIS system.
 With the PCD strategy, the monitor sends the measuring results of patient to
the HIS system.

 Note: Data that transmits between the monitor and HIS system use the SSL
to encrypt and only provide the certificate by the HIS.

Set the network as following:

1. Select【SETTINGS】→【ADVANCED】→【NETWORK】to set the network
to be【Wired LAN Network】or【Wireless WLAN Network】.
2. Select【SETTING】→【ADVANCED】→【NETWORK】→【IHE Setting】,
in this interface set the network server to be【PCD Server】/【PDQ Server】.
3. Select【OK】to save settings.

3-8
 Patient Monitor User’s Manual

3.8.5 Service settings

1. Select 【SETTINGS】→【ADVANCED】→【SERVICE】 to reset factory default

settings (not recommended), import and export the configure files by USB, or
import configuration settings from a USB drive. In the 【SERVICE】 menu, you
can also see the device logs and other information about the device.

3.8.6 Other settings

1. Select【SETTINGS】→【ADVANCED】→【PARAM】→【HT./WT.】to set
the【Height Unit】and the【Weight Unit】.
2. Select【OK】to save settings.

3-9
 Patient Monitor User’s Manual

Chapter 4 Patient Management

4.1 Adding a Patient
To add a patient,
1. Select 【PATIENT】→【Add】. The patient information window will pop up.
2. Enter or select the patient information:

Fig 4-1
——Patient ID: The system can automatically produce an ID for the patient. The ID
can also be manually entered.
——First Name: Enter the patient’s first name.
——Last Name: Enter the patient’s last name (family name).
——Gender: Choose 【Male】 or 【Female】.
——Patient Type: Choose the patient category, either【Adult】, 【Pediatric】 or
【Neonate】.
——Date of birth: Enter the patient’s birthday.
——Height: Enter the patient’s height.
——Weight: Enter the patient’s weight.
——Room No.: Enter the patient’s room number.
——Bed No.: Enter the patient’s bed number.
Select 【OK】 to add the new patient.

4-1
 Patient Monitor User’s Manual

Caution: The patient type determines which measurement algorithms, safety

limits, and alarm limits the device will use during operation.

Caution: The number of patients who can be entered depends on the

device’s storage space.

4.2 Patient Management

When the patient is added, the patient information will automatically populate
the patient interface (see the following picture):

And you can conduct any of the following operations:

1． Select 【View All】:Can view the last 1 day, last 7 days, or all the patients. Even
you can choose the keyword search to find the exact one you need.
2． Select 【Modify】:Select one piece of patient information to modify it（except the
patient ID）.
3． Select 【Discharge】：Can discharge the current patient.
4． Select 【Delete】: Select one or more pieces of patient information to delete it.
5． Select 【 Select 】 ： Select one piece of patient information. The system
automatically will go to the home screen. Monitoring of the selected patient will
begin immediately.

4-2
 Patient Monitor User’s Manual

6． Select 【Print】：Can print the patient information and measurement data about
the selected one;
7． Select 【Last page】：Can check the patient information of the last page;
8． Select 【Next page】：Can check the patient information of the next page.

Caution: Do not attempt to delete or modify that patient that is currently being
monitoring.

4-3
 Patient Monitor User’s Manual

Chapter 5 Measurement
5.1 SpO2 Measurement
5.1.1 Introduction

The measurement of oxygen saturation of arterial blood (also known as pulse

oxygen saturation, or SpO2) adopts the principles of light spectra and volume tracing.
The LED emits lights with two specific wavelengths, which are selectively absorbed
by oxygenated hemoglobin and deoxyhemoglobin. The optical receptor measures the
changes in the light intensity after the light passes the capillary network and estimates
the ratio of oxygenated hemoglobin and the total hemoglobin.

Oxygenated hemoglobin
SpO2 % = ×100%
Oxyhemoglobin + deoxyhemoglobin

Wavelengths of the light emitted by the pulse oximeter probe are nominally
660nm for red LED and 940nm for infrared LED. The total optical output power of
the sensor LEDs is less than 15 mW.

5.1.2 Safety Information

 Warnings:
 Use only SpO2 sensors specified in this manual. Follow the SpO2 sensor’s
instructions for use and adhere to all warnings and cautions.
 When a trend toward patient deoxygenation is indicated, blood samples
should be analyzed by a laboratory co-oximeter to completely understand
the patient’s conditions.
 Do not use the monitor and the SpO2 sensor during magnetic resonance
imaging (MRI). Induced current could cause burns.
 Prolonged continuous monitoring may increase the risk of unexpected
changes in skin characteristics, such as irritation, reddening, blistering or
burns. Inspect the sensor site every two hours and move the sensor if the
skin quality changes. For neonates, or patients with poor peripheral blood
circulation or sensitive skin, inspect the sensor site more frequently.

5-4
 Patient Monitor User’s Manual

 Check the SpO2 sensor and its package for any sign of damage before use. Do
not use the sensor if any damage is detected. Contact the manufacturer.
 Use only SpO2 sensors and extension cables approved for use with this
monitor. Do not use damaged sensors or cables. Incompatible or damaged
sensors or cables could pose patient burn risk.
 Do not soak the sensor in water. Avoid contact with moisture to prevent
damage.
 When disposing of any SpO2 probes, please observe all local, state, and
federal regulations that relate to the disposal of this product or similar
products.
 Pulse rate measurement is based on the optical detection of a peripheral flow
pulse and therefore may not detect certain arrhythmias. The pulse oximeter
should not be used as a replacement or substitute for ECG-based
arrhythmia analysis.

Caution: If it is necessary to clip the SpO2 device to the patient, always clip
the cable, not the sensor itself. Never use force to pull the sensor
cable.

 Note:
 During SpO2 measurement, SpO2 wave will show in the SpO2 display area.
This wave does not equal the intensity of the PR signal.
 The production divergence and drive current of LED influence the range of
the peak wavelength of the emitted light by the oxygen probe.
 The monitor does not provide automatic self-examination alarm signal. The
operator must use a SpO2 simulator for self-test of the device.
 Functional test can not be used to assess the accuracy of the monitor.
 When the displayed SpO2 or pulse rate value is potentially incorrect, the
system will show a “？” in the value position.

5.1.3 SpO2 Monitoring Procedure

1. Selecting SpO2 Sensor: Select SpO2 sensor that is appropriate for the patient
category, weight and application site.

5-5
 Patient Monitor User’s Manual

2. Connecting SpO2 Sensor: Plug the SpO2 sensor cable into the SpO2 connector on
the device. (See device diagram in Chapter 1.4.)
3. Applying SpO2 Sensor: Clean the application site, removing any colored nail
polish, and apply the sensor to the patient. Typically, the sensor should be used on the
index, middle or ring finger. The fingernail should face the side with the red light.

 Warnings:
 Do not use the SpO2 sensor on the same limb being used for NIBP
measurement. This may result in inaccurate SpO2 reading due to blocked
blood flow during cuff inflation.
 Do not measureSpO2 on a finger painted with nail polish. This may result in
unreliable measurements.
 When using a finger sensor, make sure the fingernail faces the red light.
 If “Weak Signal” is indicated, check the patient’s condition and move the
probe to another position to try to obtain a better signal.

5.1.4 SpO2 Display

SpO2 unit Upper alarm

limit

%SpO2 value Lower alarm

limit

Pleth waveform

5.1.5 Setting SpO2

1. Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【SPO2】
→【Default response】to choose the response to be【Normal : 16 seconds】or
【Fast : 4 seconds】.
2. Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【SPO2】
→【Alarm limits status】 to setup the alarm limits to be【On】or【Off】.
3. Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【SPO2】
→【Sweep speed】 to setup the speed to be【6.25mm/s】or【25 mm/s】.

5-6
 Patient Monitor User’s Manual

5.1.6 SpO2 Measurement Limitations

If you doubt the SpO2 measurements, check the patient and move the probe to a
different finger. The following factors may influence the accuracy of measurements:
 Exposure to excessive illumination, such as surgical lamps (especially ones
with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating
lamps or direct sunlight (exposure to excessive illumination can be corrected
by covering the sensor with a dark or opaque material);
 Electromagnetic interference, such as from an MRI device;
 Excessive patient movement;
 Intravascular dyes such as indocyanine green or methylene blue;
 Significant levels of dysfunctional hemoglobins (such as carboxy hemoglobin
or methemoglobin);
 Incorrect sensor application or use;
 Placement of a sensor on an extremity with a blood pressure cuff, arterial
catheter or intravascular line;
 Low perfusion;
 Electrosurgical units.
The monitor can be used during defibrillation, but the readings may be
inaccurate for a short time.

5-7
 Patient Monitor User’s Manual

5.2 PR Measurement
5.2.1 PR display

PR Unit PR value

Upper alarm
limit

Lower alarm
limit

PR source

5.2.2 Selecting PR Source

Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【PR】→
【Source】: SpO2 or NIBP.

5-8
 Patient Monitor User’s Manual

5.3 NIBP Measurement

The monitor uses the oscillometric method for measuring NIBP. It is applicable
for adult, pediatric and neonatal patients. It is not applicable for pregnant or
pre-eclamptic patients.
The oscillometric method indirectly estimates the systolic and diastolic pressures
within the blood vessels by measuring pressure change within the blood pressure cuff.
The device senses pressure waves in the artery when occluded by pressure in the cuff
and calculates the average pressure.
NIBP measurement is suitable for use during electrosurgery and during the
discharge of a cardiac defibrillator according to IEC 80601-2-30.
A physician must determine the clinical significance of the NIBP measurement.

5.3.1 Safety Information

 Warnings:
 Check the patient category before monitoring. Incorrect settings may result
in some risk for patient safety. For example, higher alarm-level settings for
adults are not suitable for pediatric and neonatal patients.
 Do not measure NIBP on patients with sickle-cell disease or any condition in
which skin damage has occurred or is expected.
 Use clinical judgment to decide whether to perform frequent Auto BP
measurements on patients with severe blood clotting disorders because of
the risk of hematoma in the limb fitted with the cuff.
 Use clinical judgment to decide whether to perform Auto BP measurement
on patients with thrombasthemia.
 Do not use the NIBP cuff on a limb with an intravenous infusion or arterial
catheter in place. This could cause tissue damage around the catheter when
the infusion is slowed or blocked during cuff inflation.
 If you doubt the NIBP measurements, check the patient’s vital signs using
another device, and then check the monitor.
 The NIBP measurement function must be calibrated regularly for safe use.
 The performance of the automated sphygmomanometer can be affected by
extremes of temperature, humidity and altitude.

5-1
 Patient Monitor User’s Manual

 Avoid compression or restriction of the connection tubing, or the

measurement result will be wrong, which may mislead the doctor to make
wrong diagnosis, patient may be hurt.
 When the patients can not take care of themselves, there must be an operator
stand by during auto mode measurement.
 The environmental or operational factors which can affect the performance
of the NIBP module and its BP reading :
 Avoid compression or restriction of pressure tubes. Air must pass
unrestricted through the tubing.
 The bladder of the cuff is not folded or twisted.
 A wrong cuff size, and a folded or twisted bladder, can cause
inaccurate measurements
 Do not wrap the cuff too tightly around the limb.
 The continuous cuff pressure due to connection tubing kinking may cause the
effect of blood flow interference and resulting harmful injury to the patient.
 Do not use the cuff over a wound, as this can cause further injury.
 Do not use the NIBP cuff on the arm of a mastectomy patient, we suggest
measuring blood pressure on their legs.
 Pressurization of the cuff can temporarily cause loss of function of
simultaneously used monitoring ME EQUIPMENT on the same limb.
 The application of the cuff and its pressurization on any limb where
intravascular access or therapy, or an arterio-venous(A-V) shunt is present,
temporary interference to blood flow and could result in injury to the
patient.
 Check the operation of the automated sphygmomanometer regularly to make
sure that it does not result in prolonged impairment of the circulation of the
blood of the patient.

5.3.2 NIBP Measurement Limitations

Accurate NIBP measurements cannot be taken when the heart rate is extremely
low (less than 40 bpm) or extremely high (greater than 240 bpm) or if the patient is
on a heart-lung machine.
Accurate measurement also cannot be taken when the following conditions exist:
 excessive and continuous patient movement such as shivering or convulsions;

5-2
 Patient Monitor User’s Manual

 difficulty detecting a regular arterial pressure pulse;

 cardiac arrhythmias;
 rapid blood pressure changes;
 severe shock or hypothermia that reduces blood flow to the peripheries;
 an edematous extremity.

5.3.3 NIBP Measurement Modes

There are four modes of measuring NIBP:

 Manual: a single measurement on demand.
 Auto: continuous repeated measurements with a set interval.
 STAT: rapid series of measurements over a five-minute period. For use only
on supervised patients.
 Averaging: a set number of measurements taken and averaged.

Fig 5-1

 Note:
 Averaging measurement mode is intended only for the conscious adults.

5-3
 Patient Monitor User’s Manual

5.3.4 NIBP Monitoring Procedure

5.3.4.1 Preparing to Measure NIBP

1. Encourage the patient to be still and quiet.

2. Check the patient category. If you want to change the patient category, select
to enter the 【Patient Info】 menu. Select the desired patient category.
3. Select the appropriate cuff according to patient size.
 Check the limb circumference of patient. (Use the upper arm or thigh.)
 Select the appropriate cuff. (The applicable limb circumference for the cuff is
marked on the cuff.) The width of the cuff should be about 40% of the limb
circumference (50% for neonates), or 2/3 of the upper arm’s length. The
inflatable part of the cuff should be long enough to encircle 50% to 80% of
the limb.

 Note:
 BP measurement accuracy depends on a properly fitted cuff.
 The following steps should be taken to obtain accurate routine resting blood
pressure measurements for the condition of hypertension , including:
1) Comfortably seated
2) Legs uncrossed
3) Feet flat on the floor
4) Back and arm supported
5) Middle of the cuff at the level of the right atrium of the heart.
6) The patient should relax as much as possible and not talk during the
measurement procedure.
7) 5min should elapse before the first reading is taken;
8) The operator is suggested standing on the right side of the monitor in
normal use.

4. Confirm the cuff has been entirely deflated.

5. Connect one end of the BP cable to the cuff air tube and the other end to the
monitor’s NIBP connector. Gently push the tip of the BP cable over each
socket to click the cable securely in place.

5-4
 Patient Monitor User’s Manual

6. Wrap the cuff snugly around the upper arm or thigh of the patient. On the arm,
the bottom of the cuff should be approximately 1 inch above the elbow joint.
Ensure the Artery Marker “Φ” on the cuff is positioned above artery and that
there are no knots in the BP cable. When wrapped around the patient’s arm,
the Cuff Index Line should fall within the Range Markers printed
on the cuff. If not, select another cuff size. The monitor is designed for use
with standard neonatal, pediatric and adult cuffs (including arm and thigh
cuffs).

 Note:
 The cuff should be at heart level to avoid measurement errors. If you cannot
position the cuff on a limb at heart level, you may need to make manual
adjustments to measurements as follows:
 If the limb/cuff position is higher than heart level, the BP reading will be
lower. Add 0.75mmHg (0.1kPa) to the measurement result for each
centimeter of distance between the limb/cuff and the heart.
 If the limb/cuff position is lower than heart level, the BP reading will be
higher. Subtract 0.75mmHg (0.1kPa) for each centimeter of distance
between the limb/cuff and the heart.

5.3.4.2 Starting/Stopping Measuring

Press on the device display to start NIBP measurement. Press

again to stop measurement.

5.3.4.3 Measurement Mode Setting

 Auto Measurement
1. Select【SETTING】→【NIBP Mode】→【Long-Term Automatic】 to start
an automatic measurement cycle.
2. Select【Minute】to set the duration of time you want to automatically measure
BP. Select a time period from 【5min】to【240 min】.
3. Select to begin the cycle.

5-5
 Patient Monitor User’s Manual

 Warning: Prolonged NIBP measurement in Auto Measurement mode can

be associated with purpura, ischemia and neuropathy in the limb wearing
the cuff. Wshen monitoring a patient, examine the extremities of the limb
frequently for normal color, warmth and sensitivity. If any abnormality is
observed, please stop NIBP measurement immediately.

 STAT Measurement
1. Select 【SETTINGS】→【NIBP】→【STAT】 to start a quick measurement cycle.
BP measurements will be taken for about 5 minutes.
2. Select to begin the cycle.

 Note: STAT measurement mode will return to manual mode when one
STAT measurement is finished.

 Averaging Mode
1. Select 【SETTINGS】→【NIBP Mode】→【Averaging】 to start an averaging
mode measurement cycle.
2. To include the first measurement in the average, check the box beside “Include the
first measurement in averaging calculation.” If you do not wish to include the first
measurement in the average, and the box is checked, touch the check box to uncheck
it.
3. Select the total number of measurements to be taken and averaged. Select between
2 and 5 measurements.
4. Select the number of minutes before the first measurement begins. Select between
0 minutes and 5 minutes. If you select 0, measurement will begin immediately after
you begin the cycle by touching . If you select 1, measurement will begin 1
minute after you touch , etc.
5. Select the number of seconds between each discreet measurement. Select an
interval between 15 seconds and 120 seconds.
6. Select OK to apply your settings and then select to begin the cycle.

5-6
 Patient Monitor User’s Manual

 Warning: Operator is in continual attendance during the series of

determinations.

5.3.5 NIBP Display

There is no waveform displayed for NIBP measurement. NIBP readings are

displayed in the BP section of the measurement display. The following figure shows
the NIBP display screen. The display on your monitor may look slightly different.

7 2 8

1
5

6
3

1. Systolic blood pressure

2. Diastolic blood pressure
3. Mean arterial blood pressure
4. Upper alarm limits
5. Lower alarm limits
6. Alarm switch
7. Pressure unit
8. Measurement mode
9. Patient type

5-7
 Patient Monitor User’s Manual

 Note: In Triage profile, click the patient type area (see the above picture
area 9) can change the patient type. In monitor and spot check Profile,
the patient type just display in this area.

5.3.6 Setting NIBP

You can setup the NIBP measurement information as follows:

1. Select【SETTINGS】→【ADVANCED】→【PARAMETERS】→【NIBP】
→【Default patient type】 to choose the patient category. Choose either
【Adult】, 【Pediatric】 or 【Neonate】.
2. Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【NIBP】
to set the 【Unit】 to 【mmHg】 or 【kPa】.

5.3.7 NIBP Maintenance

Maintenance of NIBP should be done every two years and calibrate once, if you
need the maintenance, please contact the professionals or the specified personnel of
the manufacturer. Please read the Service Manual for more details.

5-8
 Patient Monitor User’s Manual

5.4 CO2 Measurement

5.4.1 Introduction

The monitor adopts infrared absorption technology to measure the carbon

dioxide (CO2) concentration in the breathing airway of patient. Because CO2
molecule can absorb infrared light of special wavelength, and the amount of absorbed
infrared light directly relates to the concentration of CO2, therefore while the infrared
light radiated from the infrared light source passing through the gas sample
containing CO2, part of energy will be absorbed by CO2 in the gas. At another side of
infrared light source, a photo detector is used to measure the remaining infrared
energy and convert it to electric signal, which will be compared with the energy of
infrared light source and adjusted so as to correctly reflect the CO2 concentration in
the gas sample.
The method to measure carbon dioxide in the patient’s airway for this monitor is
microstream. That is taking a sample of the respiratory gas with a constant sample
flow from the patient’s airway and analyzes it with the CO2 sensor.

5.4.2 Monitoring Procedure

1. Attaching the CO2Module Cable

Plug the cable into the CO2 connector on the monitor.
2. Attaching the Sampling Tube
Insert the sampling tube into the sampling tube receptacle. Shown as follows:

Receptacle

Sampling Tube

 Note:
 Inserting the sampling tube into the receptacle automatically starts the
sampling pump. Removal of the sampling tube turns the sample pump off.

5-9
 Patient Monitor User’s Manual

 To remove the sampling tube from the sampling tube receptacle, press down
on the locking tab and pull the sampling tube from the receptacle.

3. If the sampling pump fails to turn on, or runs intermittently, perform a “Zero”
procedure.
4. Ensure that the CO2 module exhaust tube vents gases away from the module
environment.
5. Wait for the CO2 module to warm up.The monitor will display the“Sensor
Warm Up”message for approximately 1minute while the module warms up to
operating temperature. The message disappears when the module is ready for
use.
6. Apply Microstream airway adapter or cannula.
1）For intubated patients requiring an airway adapter: Install the airway adapter
at the proximal end of the circuit between the elbow and the ventilator Y
section. Shown as follows:

2）For intubated patients with an integrated airway adapter in the breathing

circuit: Connect the male connector on the straight sample line to the female
port on the airway adapter. Shown as follows:

3）For non-intubated patients: Place the nasal cannula onto the patient. Shown as
follows:

5-10
 Patient Monitor User’s Manual

4）For patients prone to mouth breathing use an oral-nasal cannula. Trim the oral
sampling tip if necessary to fit the patient. It should extend down past the
teeth and be positioned in the mouth opening. Remove the cannula from the
patient if the tip needs to be trimmed. Shown as follows:

5）For nasal or oral-nasal cannulas with oxygen delivery, place the cannula on
the patient as shown then attach the oxygen supply tubing to the oxygen
delivery system and set the prescribed oxygen flow.

Caution:
 Always connect the airway adapter to the sensor before inserting the airway
adapter into the breathing circuit. In reverse, always remove the airway
adapter from the breathing circuit before removing the sensor.
 Always disconnect the cannula, airway adapter or sampling tube from the
CO2 sensor when not in use.
 Do not insert the things other than sampling tube into receptacle of sampling
tube.
 Only use the CO2 sampling tubes specified by our company.
 The sampling tubes are disposable. Please keep the sampling tube clean, and
prevent the tube from clogging by dust. It is advised to replace the sampling
tube every 12h (up to 120h of use with filter tip), the sampling tube leaks or
has been damaged and contaminated.
 If the sampling tube is clogging and result in reducing flow, alarms will
display in the screen.

5-11
 Patient Monitor User’s Manual

5.4.3 CO2 Display

4 5

1
6

2
7

1. Unit of CO2
2. End-tidal CO2 value (EtCO2)
3. CO2 waveform
4. Inspired minimum CO2 (FiCO2)
5. Airway respiration rate (awRR)
6. Upper alarm limit
7. Lower alarm limit

5.4.4 Setting CO2

5.4.4.1 Entering CO2 Menu

Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【CO2】
to enter the CO2 setup menu.

5.4.4.2 Setting Sweep Speed

 CO2 Sweep Speed

1. EnterCO2 Setup menu.

2. Set 【Sweep Speed】to【6.25 mm/s】,【12.5 mm/s】or【25 mm/s】.

5.4.4.3 Setting Unit

1. Enter CO2 Setup menu.

2. Set【CO2 Unit】 to 【mmHg】, 【kPa】 and【%】.

5-12
 Patient Monitor User’s Manual

5.4.4.4 Setting Wave Range

1. Enter CO2 Setup menu.

2. Set 【WaveRange】 to【8%】,【10%】, 【12%】and【14%】.

5.4.4.5 Setting ETCO2 Time Period

1. Enter CO2 Setup menu.

2. Set 【Setting ETCO2 Time Period】 to【One Breathe】【
, 10s】and 【20s】.

5.4.4.6 Setting Alarm Limit Status

1. Enter CO2 Setup menu.

2. Set【Alarm Limit Status】to【on】or【off】.

5.4.4.7 Setting the Atmospheric Pressure

1. Enter CO2 Setup menu.

2. The monitor equipped with automatic barometric pressure compensation, you
can set the atmospheric pressure according to different altitude, default
atmospheric pressure is 760 mmHg.

5.4.5 Zeroing

Zeroing allows the CO2 module to adjust to the optical characteristics, in order to
obtain accurate readings. While zeroing is recommended the first time a CO2 module
is connected to the monitor, it is only absolutely necessary when the message “Zero
Required” is displayed.
Follow these steps:
1. Ensure that the nasal cannula or airway adapter is not connected to the patient
or close to any source of CO2 (including the patient's, your own, exhaled
breath and ventilator exhaust valves).
2. Select 【Zero】 in the CO2 parameter setting menu, this will start zeroing. The
monitor zeroes the module and displays the message “Zero In Progress” for
about 15-20s on the screen. The message disappears upon completion of the
zeroing.

5-13
 Patient Monitor User’s Manual

Caution:
 Always ensure that the sampling tube is properly connected to the
microstream CO2 module before zeroing.
 Do not attempt zeroing for 20s after removing the adapter or cannula from
the patient’s airway. This time allows any CO2 remaining in the adapter or
cannula to dissipate before zeroing.
 Do not attempt to zero the module while the adapter or cannula is in the
patient’s airway.
 Do not attempt zeroing if the temperature is not stable.
 Zeroing with CO2 in the adapter or cannula can lead to inaccurate
measurements or other error conditions. If you attempt zeroing while CO2
remains in the adapter or cannula, the time required to zero the module
may be increased.

5.4.6 Calibrating

The monitor has been calibrated before leaving factory. You can use the monitor
directly except the following three situations. When one of the following situations
happens, please calibrate the CO2 module.
——The CO2 module has been used for half a year or a whole year.
——The therapeutist doubt about the reading of measurement.
——The atmospheric pressure or height above sea level has changed a lot after
last calibrating.

Caution：Please calibrate the monitor under the direction of the technician

authorized by manufacturer. Incorrect calibrating process should
lead incorrect reading.

5.4.7 Removing Exhaust Gases

 Warning: When using the microstream CO2 measurement on patients who

are receiving or have recently received anesthetics, connect the

5-14
 Patient Monitor User’s Manual

outlet to a scavenging system, or to the anesthesia

machine/ventilator, to avoid exposing medical staff to anesthetics.

Use an exhaust tube to remove the sample gas to a scavenging system. Attach it
to the outlet connector of microstreamCO2 module.

5.4.8 Adverse Effects On Performance

——quantitative effects of gas sample humidity or condensate

——leaks or internal venting of sampled gas;
——cyclical pressure of up to 10 kPa (100 cmH2O);
——other sources of interference.

5-15
 Patient Monitor User’s Manual

5.5 Temperature Measurement

5.5.1 Introduction

This monitor is equipped with fast temperature measurement capability. Fast

temperature measurement uses a pre-heating mode to reach the patient’s body
temperature rapidly. It then converts the temperature into electrical signals, which are
processed by the monitor and quickly displayed as measurements.

5.5.2 Temperature Monitoring Procedure

1. Select the appropriate measurement sites. Choose between Oral , Axillary or

Rectal .
2. Select the measurement mode. Choose between quick , Cold , or
Monitor . For Oral site measurement, only Quick or Cold modes are available. For
Axillary or Rectal site measurement, all three modes are available.

 Note:
 Quick mode is suitable for patients whose body temperature is expected to be
in the normal range of between 96.8 degrees F to 100.4 degrees F(36 degrees
C to 38 degrees C).
 Cold Preheat mode is suitable for patients whose temperature is expected to
be lower than normal (i.e., 91.4 degrees F, or 33 degrees C), such as those
coming out of surgery.
 Monitor mode is suitable for continuous temperature monitoring. The
minimum measuring time of this mode is recommend 60s.

3. Remove the temp probe rapidly from the probe well on the front of the monitor.
This temp probe symbol will begin flashing as a reminder to apply a probe cover.
4. Place the disposable probe cover and position the probe on the patient (see
guidance below on proper positioning). The temperature timer symbol will flash
while the measurement is completed.
If using Direct mode, real-time measurement data will appear on the screen
continuously.
5. When the measurement is completed, this probe symbol will flash as a
reminder to eject the used disposable probe cover. Eject the probe cover and insert the
probe back into the probe well.

5-16
 Patient Monitor User’s Manual

 Warnings: If measure without the probe cover, the measurement result may
be inaccurate.

Proper Temperature Probe Positioning

Oral Temperature Taking
Insert the probe tip under the tongue on one side or the other. Ask the patient to
close his mouth. Hold the probe in place until there is a long beep and the temperature
reading displays.

Axillary Temperature Taking

With the patient’s arm uplifted, place the probe tip into the patient’s armpit,
directly on the skin. Ask the patient to lower his arm and hold still. Hold the probe
perpendicular to the arm until there is a long beep and the temperature reading
displays.

5-17
 Patient Monitor User’s Manual

Rectal Temperature Taking

Apply lubricant to the probe cover and insert it gently into the patient’s rectum
only one-half inch to three-fourth inch (12 mm to 19 mm) for adults or one-fourth to
one-half inch (6 mm to 13 mm) for children. Hold the probe still until there is a long
beep and the temperature reading displays.

Caution: If the monitor cannot take the temperature in quick temp mode, it
will automatically change modes and output the results. The
temperature measurement site and mode can only be changed
when the probe is stored in its holding receptacle on the monitor.
These settings cannot be changed when the probe is out.

5.5.3 Temperature Display

Temp value Measurement site

Temp unit of
Upper alarm limit
measure

Lower alarm limit

Mode

Alternate
Temp value

Probe Cover indicator

5.5.4 Temperature Settings

1.Select 【SETTINGS】→【ADVANCED】→【PARAMETERS】→【Temp】
to enter the temperature setup menu.
2. Set 【Unit】 to 【Celsius】 or 【Farhenheit】. The selected measurement unit
will be effective during the next measurement.

5.5.5 Safety Information

 Warning:
 Calibrate the device’s temperature measurement function every six months
to one year or according to your facility’s regulations.

5-18
 Patient Monitor User’s Manual

 If the temperature exceeds the measurement range, the alarm will be

activated. Check whether the temperature probe is placed on the patient’s
appropriate site.
 Damaged or outdated probes should be repaired or replaced immediately.
 The probe cover is intended for single use, it may do harm to patient if
re-used it. A new probe cover shall be used for each output temperature
measurement.
 Use only accessories specified in this manual, incompatible components can
result in degraded performance.

5.6 Nurse Call

The Nurse Call function will send a signal to the nurse call system when a
patient’s vital signs exceed a pre-set alarm limit. To activate this function, the
monitor must be connected to the hospital’s nurse call system. Please use the
provided the nurse-call connection cable.
The Nurse Call function will only operate under these concurrent conditions:
 The Nurse Call function is active;
 An alarm condition is occurring; and
 Alarms have not been paused or silenced.
To set up Nurse Call:
1. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【OPTIONAL】
and then【Enable Nurse Call】
2. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【ALARM】→
【Nurse Call threshold】 to set the alarm level at which the nurse will be called (i.e.,
low, middle or high).
3. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【ALARM】→
【Nurse Call relay type】 to set the relay type to be【Normally close】or【Normally
open】.
4. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【ALARM】→
【Nurse Call trigger mode】 to set the trigger mode to be 【continual】or【1s
pause】.
5. Select【SETTINGS】→【ADVANCED】→【GENERAL】→【ALARM】→
【Remind signal interval】 to set the interval to be 30, 60, 90 and 120sec.

5-19
 Patient Monitor User’s Manual

 Warning: The Nurse Call function should not be used as the primary means
of patient monitoring. The care team should evaluate alarms in
combination with observations of the patient’s symptoms and
overall physiological condition.

5-20
 Patient Monitor User’s Manual

Chapter 6 Alarms
Alarms are prompts given by the monitor for medical personnel through visual,
audible and other means when either a vital sign appears to be abnormal or a
technical problem occurs.

 Note:
 The monitor generates all audible and visual alarms through a speaker, LED
lights and the display. When the monitor powers on, the alarm LEDs will
light once and the speaker will beep, which indicates that the alarm system is
working properly.
 Alarm settings are saved in real time, once a setting is finished, it has been
saved simultaneously. So after a loss of power, the alarm settings prior to the
power loss will recover automatically when restart the monitor.

 Warning:
 Do not set the alarm limits to extreme values that can render the alarm
system useless. Vital signs alarm limits are pre-set by the manufacturer,
but be sure to choose clinically appropriate limits for the patient. Only when
the selected patient’s type is different from the last one, the alarm limits will
return to factory defaults.

6.1 Alarm Categories

The monitor’s alarms can be classified into three categories: physiologic alarms,
technical alarms and prompt messages.
Physiologic alarms: Physiologic alarms are triggered by a monitored parameter
value (i.e., the DIA blood pressure value) that violates set alarm limits. Physiologic
alarm messages are displayed in the physiologic alarm area.
Technical alarms: Technical alarms are triggered by a device malfunction due
to improper operation or system problems. The problems may result in system
abnormal operation. Technical alarm messages are displayed in the technical alarm
area.

6-1
 Patient Monitor User’s Manual

Prompt messages: As a matter of fact, prompt messages are not alarm messages.
Apart from the physiological and technical alarm messages, the monitor will show
some message to indicate the system status.

6.2 Alarm Levels

The monitor’s physiologic alarms are classified into three categories according
to the severity of the alarm issue.
High level alarms: Indicate that the patient is in a life-threatening situation and
an emergency treatment is necessary. This is the highest level alarm.
Medium level alarms: Indicate that the patient’s vital signs appear abnormal
and an immediate treatment is required.
Low level alarms: Indicate that the patient’s vital signs appear abnormal and an
immediate treatment may be required.
The monitor’s technical alarms are classified into three categories: high level,
medium level and low level. Technical alarm levels are predefined at the factory and
can’t be changed by users.

6.3 Alarm Indicators

When an alarm occurs, the monitor will indicate it through the following means:
Alarm tone: According to the alarm level, alarm sounds in different tones will emit
from the speaker.
Alarm Light: According to the alarm level, the alarm LED light on the monitor will
flash in a different color and speed.
Alarm message: Alarm messages will be displayed on the screen.
Flashing numeric: The numeric of parameter in alarm flashes.

Caution: The concrete presentation of each alarm prompt is related to the

alarm level.

6.3.1 Alarm Tones

The device will make the following sounds for different level alarms:
Alarm level Audible prompt
“DO-DO-DO------DO-DO,
High
DO-DO-DO------DO-DO”
Medium “DO-DO-DO”

6-2
 Patient Monitor User’s Manual

Low “DO-”

6.3.2 Alarm Lamp

The device has two alarm lamp, one flashes as red/yellow, the other flashes as
cyan.When a physiologic alarm occurs, the alarm levels are indicated in the following
visual ways:
Alarm level Visual prompt
High Alarm lamp flashes in red at 2 Hz intervals.
Medium Alarm lamp flashes in yellow with 0.5 Hz intervals.
Low Alarm lamp lights on in yellow without flashing.
When a technical alarm occurs, the alarm levels are indicated in following visual
ways:
Alarm level Visual prompt
High Alarm lamp flashes in red at 2 Hz intervals.
Medium Alarm lamp flashes in yellow with 0.5 Hz intervals.
Low Alarm lamp lights on in cyan without flashing.

Caution: When multiple alarms of different levels occur at the same time,
the monitor will issue visual and audible alarm indicators for the
highest-level issues. When the low level alarm of technical alarm
and physiologic alarm occur at the same time, the two alarm lamps
will be light simultaneously, one flashes yellow, one is cyan.

6.3.3 Alarm Messages

 Physiological alarm
1) Physiological alarm messages are displayed in the physiological alarm area.
2）The “*” symbol before the alarm message match the alarm level as follows:
High level alarms: ***
Medium level alarms: **
Low level alarms: *
3）The system uses different background colors for the alarm message to match the
alarm level:
High level alarms: red
Medium level alarms: yellow

6-3
 Patient Monitor User’s Manual

Low level alarms: yellow

 Technical alarm
1) Technical alarm messages are displayed in the technical alarm area.
2）The “*” symbol before the alarm message match the alarm level as follows:
Medium level alarms: **
Low level alarms: *
3）The background color for the alarm message is blue.

 Prompt messages
1) Prompt messages are displayed in technical alarm area or the corresponding
parameter area.
2) Prompt messages have no color and visual and audible alarm indication.

 When multiple alarms occur at the same time, the alarm messages will be
displayed in the alarm area in turn.

Caution: If several alarms occur, the highest-level alarm message will be

displayed first. The latest alarm message will display first when the
alarm level of two alarm message is same .You can manually
change the display message in this area to see other alarm message.

6.4 Alarm Icons

The alarm is off.

The alarm is active.

The alarm sound is off.

The alarm is paused

6-4
 Patient Monitor User’s Manual

6.5 Setting Alarm Volume

1. Select【Alarm】→【General】.
2. Select 【Alarm Volume】 and choose a desired value from 【Low】【
, Medium】,
【High】;
At the same time , you can select【SETTINGS】→【ADANCED】→【General】
→【Alarm】to set the Minimum Alarm Volume to be 【Low】【
, Medium】【
, High】.

 Warning:
 Auditory alarm signal sound pressure levels, which are less than ambient
levels, can impede operator recognition of alarm conditions and the alarm
system.
 When adjust the alarm volume, the volume should be louder than the
environment noise.

6.6 Alarm Parameters

All alarm limits are adjustable. When the physical measurement value exceeds
the alarm limit value, the alarm will be triggered.

6.6.1 Alarm Switches

To turn alarm limits on or off, select【SETTINGS】→【ADANCED】→

【PARAMETERS】→【Alarm limits status】and then choose the measurement type
(i.e., NIBP, PR, SpO2 or Temp). to set the alarm to be【Alarm limits on】or 【Alarm
limits off】. When you select 【Alarm limits off】, the symbol will display in
the status bar of the related parameter.

6.6.2 Setting Alarm Limits

1. Select 【Settings】→【Profile】 and select 【Monitor】 to make sure the device

is in this profile. This profile must be selected in order to access alarms settings and
set alarm limits.
2. From the main measurement display, press anywhere in the Alarm Settings Area to
access alarm limit settings. Then you can set the upper and lower alarm limits.
3. The alarm limits can also be set up by selecting 【Alarm】 on the main
measurement display and then selecting the tab for the alarm limits you wish to set
(i.e., alarm limits for NIBP, PR, etc.).

6-5
 Patient Monitor User’s Manual

 Warning: Medical personnel should set alarm limits based on industry

protocols, the clinical environment and their clinical experience.
Before monitoring, please confirm whether alarm settings are
suitable for the monitored patient.

6.7 Pausing Alarms

Press the button on the front panel of monitor to temporarily suspend all
alarm indicators. The suspend time will occur in the status area, after 30s, the alarm
suspend will be cancel automatically; or press the button again to exit alarm
pause status manually. When you pausing alarms, the following will occur:
 All the physiological alarms will be closed.
 Only alarm messages in the technical alarm area will still be displayed. The
lamp and volume of the technical alarm will be closed.
 A 30-second countdown for the alarm pause period will appear at top right in a
red bar across the top of the screen.
After the alarm pause time has elapsed, the monitor will automatically cancel the
alarm pause and return to normal status. If alarm conditions remain active, alarms
will be active. To manually cancel the alarm pause at any time, select .

6.8 Acknowledging Alarms

By selecting on the front panel of the monitor; you can acknowledge
active physiological and technical alarms one by one. After you take this action, the
following occurs:
 Visual alarms are open, but audible alarms are shut off.
 “Acknowledged” will appear in front of the acknowledged physiologic alarm
message.
 Other remaining physiological and technical alarms will remain.
If a new technical or physiological alarm occurs, the acknowledged alarms will
not be influenced, and the system will produce audible alarm according to the level of
the new alarms.

6-6
 Patient Monitor User’s Manual

6.9 Alarm Reset

Press the button on the front panel of the monitor, you can reset all active
physiological and technical alarms:
 The auditory alarms are all shut off.
 The visual alarm signals for any existing alarm conditions will continue
as long as those alarm conditions exist.
 The technical alarm about lead-off/sensor-off will be deleted.
 After reset the alarms, if a new technical alarm or physiological alarm
occurs, the monitor will enable the audible alarm once again.

6.10 Alarm Volume Off and On

Only when the following setting steps are performed, function of the alarm
volume off or on can be achieved.
Select 【SETTINGS】→【ADVANCED】, input the correct password to enter
the alarm control interface. In this interface, select 【Allow control alarm audio】.
Then go back to the main interface, select→【ALARM】 to choose 【Alarm audio
on 】or 【Alarm audio off】.

 Note: After select 【Alarm audio off】, the icon of will occur in the
interface.

6.11 Reminder Signal

When active alarm audio on, the alarm system would provide a periodical
audible reminder signal sound like “Ding, Ding, Ding”. 【 SETTINGS 】 →
【ADVANCED】, input the correct password to enter the alarm control interface. In
this interface, you can select or deselect【Active reminder signal】 to open or close
the reminder signal. You also can adjust the intervals between the reminder signal to
be 30s, 60s, 90s, 120s in this interface.

6-7
 Patient Monitor User’s Manual

6.12 Resetting Alarm Limit

To reset all alarm limits to factory default levels, select 【Alarm】→【General】
→【Reset alarm limits】. Limits will be reset to the following defaults:
Parameter Upper limit Lower limit
SYS 160 90
Adult DIA 150 50
MAP 110 60
NIBP SYS 120 70
(mmHg) Pediatric DIA 70 40
MAP 90 50
SYS 90 40

Neonatal DIA 60 25
MAP 70 35
SpO2 100 95
PR 120 50
TEMP（℃） 39 36
CO2 EtCO2 65 26
FiCO2 4 0
awRR 30 8

 Warnings: A potential hazard can exist if different alarm pre-sets are used
for the same or similar equipment in any single area.

6.13 Alarm History

Select the 【ALARM】 on main measurement display and then select the
【HISTORY】 tab to see all the alarm time, alarm level ,alarm message, alarm
duration time and so on as the following picture shows:

6-8
 Patient Monitor User’s Manual

 Note:
 The record number of the alarm log depends on the storage space.
 The alarm system generates a technical alarm condition when the storage
space is insufficient. When the storage space is less than 10M, the low level
technical alarm occurs, and prompt information will pop up as “Insufficient
storage space"; when the storage space is less than 5M, the other low level
technical alarm occurs, and a prompt information will pop up as “Critical
shortage of storage space".
 When the alarm system is powered down, the log is maintained, but the time
of powering down will not be captured in the log.
 The contents of the log are maintained after the alarm system has
experienced a total loss of power (supply mains and internal electrical power
source) for a finite duration.
 When the log reaches capacity, the system will automatically delete the
earliest log.

6-9
 Patient Monitor User’s Manual

Chapter 7 Reviewing
You can use the Review feature to access any patient information saved by the
monitor.

7.1 Reviewing Patient Measurements

Select 【REVIEW】 on the home screen to access saved patient measurement
data.

7.2 Deleting Patient Data

Select the blank box to the left of the Patient ID and then select【Delete】 to
delete the patient’s measurement data.

7.3 Print Patient Data

Select the blank box to the left of the Patient ID and then select 【Print】
to print the selected patient’s measurement data.

7.4 Send Patient Data

Select the blank box to the left of the Patient ID and then select 【Send】
to send the selected patient’s measurement data to the hospital information system
(HIS). As soon as the data send to the HIS, there is the symbol ’Y’ in the line of
“Send”

7-1
 Patient Monitor User’s Manual

Chapter 8 Battery
8.1 Introduction
The monitor can be fitted with a rechargeable battery to ensure continuous
operation in the event of a power outage. The battery requires no special maintenance
under normal conditions. While the monitor is connected to an external power source,
the battery will charge, regardless of whether the device is turn on. In the case of a
sudden power outage, the monitor will automatically switch to battery power without
interruption of measurement.
Battery status can be found at the top right corner of the touch screen.

Indicates the battery is fully charged.

Indicates the battery is depleted and needs recharging.

Indicates the battery is recharging.

Indicates the battery is abnormal.

Battery power lasts for a limited time. When battery power is very low, the
monitor will issue a monitor technical alarm. The user should immediately connect
the device to a power supply to charge the battery.

Caution: If the monitor is unlikely to be used for an extended time period,

remove the batteries prior to shipping or storage.

 Warnings:
 Use only batteries specified in this manual.
 Keep the batteries out of children’s reach.
 Check the battery regularly to guarantee its normal function.
 Replace the battery at the end of its service life.
 The battery can only be replaced, maintained by professional personnel
specified by the manufacturer or the device may not be started up.

8-1
 Patient Monitor User’s Manual

8.2 Installing a Battery

The battery compartment is located on the bottom of the monitor. Follow these
steps when installing the batteries.
1. Turn off the monitor and disconnect the power cable and other connected
wires and cables.
2. Open the battery door in the direction indicated on the door label.
3. Take out the old battery.
4. Insert the new battery in the direction indicated.
5. Close the battery door.

8.3 Optimizing Battery Performance

A battery needs at least two optimizing cycles when it is put into use for the first
time. A battery cycle is one complete, uninterrupted charge of the battery, followed
by a complete, uninterrupted discharge of the battery. A battery should be conditioned
in this way regularly to maintain its useful life. In addition to initial use, ideal times to
condition a battery are when it is used or stored for two months or when its run time
becomes noticeably shorter.
To optimize a battery, follow this procedure:
1. Disconnect the monitor from the patient and stop all monitoring and measuring
procedures.
2. Place the battery in need of optimizing into the battery compartment.
3. Place the monitor in the charger stand and connect it to AC power supply.
Allow the battery to charge uninterrupted for at least 6 hours.
4. Disconnect the monitor from the AC power supply and allow the monitor to
run on battery power until the battery is depleted and the device shuts off.
5. Return the monitor to the charger stand and connect it to the AC power supply.
Allow the battery to charge uninterrupted for at least 6 hours.

8.4 Checking Battery Performance

The performance of a battery may deteriorate over time. To check battery
performance, follow this procedure:
1. Disconnect the monitor from the patient and stop all monitoring and measuring
procedures.
2. Place the monitor in the charger stand and connect it to an AC power supply.
Allow the battery to charge uninterrupted for at least 6 hours.

8-2
 Patient Monitor User’s Manual

3. Disconnect AC power and allow the monitor to run on battery power until it
shuts off.
4. Make note of the monitor operating time on battery power. Operating time is a
direct indicator of battery performance. If you notice declining battery
operating time span, you may need to run it through an optimizing cycle or
replace it.

Caution: Battery operating time depends on the configuration and operation

of the monitor. For example, continuous monitoring of NIBP and
SpO2 will deplete the battery faster than occasional vital signs spot
checks.

8.5 Disposing of Battery

Batteries that are damaged or depleted should be replaced and discarded
properly. Dispose of used batteries according to local regulations.

Caution: Battery service life depends on how often the monitor is used and
how many features are used. The battery typically can be charged
and discharged 300 times.

 Warning: Do not disassemble batteries or dispose of them in fire, or cause

them to short circuit. They may ignite, explode or leak, causing
personal injury.

8-3
 Patient Monitor User’s Manual

Chapter 9 Maintenance and Cleaning

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

 Warning: For optimal performance, product service should be performed

only by qualified service personnel.

 Note: To ensure equipment performance and safety, the monitor should be

evaluated by a qualified service technician after 1 year of use.
Contact the device manufacturer to schedule a service appointment.

9.2 Cleaning the Monitor

1. Common detergents and non-corrosive disinfectants commonly used in
hospitals can be applied to clean the monitor. Many of these cleaners must be
diluted prior to use. Please use them according to the instructions of the
detergent manufacturer.
2. Avoid the use of alcohols, amino or acetonyl detergents.
3. The monitor’s enclosure casing and touch screen should be kept free of dust.
They can be wiped with a lint-free soft cloth or moistened sponge. While
cleaning, be careful and do not spill liquid onto the monitor. Be especially
careful to keep water and liquid out of all cable outlets and USB ports.
4. Do not use abrasive materials, including wire brushes or metal brighteners,
during cleaning. They will damage the panel and monitor screen.
5. Do not submerge the monitor in liquid.

9-1
 Patient Monitor User’s Manual

6. If a cable or other attachment accidentally gets wet with cleanser, please rinse
it with distilled water or deionized water and dry it at a room temperature 40
degrees C to 80 degrees C for at least one hour.

9.3 Cleaning and Disinfection of Accessories

9.3.1 SpO2 Sensor

Isopropyl alcohol 70% or 10% bleach solution can be used for sterilization. Do
not use undiluted bleach (5% ～ 5.25% sodium hypochlorite) or other
non-recommended disinfectants to avoid damaging the sensor.

Caution:
 Do not sterilize the sensor by radiation, steam or ethylene oxide (EtO2).
 Do not directly submerge sensor in liquid.
 To avoid long-time harm to sensor, sterilization should only be conducted
when necessary according to your facility’s regulations.

9.3.2 NIBP Cuff

a) Please regularly clean the product;

b) Remove cuff from connector and pull out airbag from sheath;
c) Submerge clean and soft medical gauze pad or other soft cleaning tools into fresh
water or neutral soapy water, and wring out surplus water from the submerged
gauze then wipe airbag and pipe;
d) Wash the cuff sheath in the clean neutral soapy water;
e) After the sheath and airbag intensive drying, enclose airbag with cuff sheath and
put into operation.

Caution:
 Excessive or frequent cleaning may damage cuff.
 Do not dry cuff at high temperatures.
 If a high level of sterilization is required, please choose a disposable cuff.
 Disposable cuff only use by one patient.
 Be careful to keep water and cleaning solutions out of the connecting parts of
the cuff and monitor.

9-2
 Patient Monitor User’s Manual

9.3.3 Temp probe

Dampen a cloth or sponge with a 10:1 water/bleach mixture or 70% isopropyl

alcohol. Use this to wipe the sensor occasionally. During cleaning, shake the probe
handle to drain out any excess liquid thoroughly.

Caution: Probe covers are only for single use. Reuse may cause damage and
contamination.

9.3.4 CO2 Sensor and Reusable Airway Adapter

 The outside of the module or sensor may be cleaned and disinfected by

wiping with 70% isopropyl alcohol, a 10% bleach solution, or mild soap.
After cleaning, wipe with a clean, water-dampened cloth to rinse. Dry before
use.
 Reusable airway adapters may be cleaned by rinsing in a warm soapy solution,
followed by soaking in a liquid disinfectant such as 70% isopropyl alcohol, a
10% bleach solution, Cidex® or System 1® (refer to the disinfectant
manufacturer's instructions for use). Adapters should then be rinsed with
sterile water and dried.
 Reusable airway adapters may also be pasteurized or autoclaved. Autoclave at
121℃ (250℉) for 20 minutes, unwrapped.
 Before reusing the adapter, ensure the windows are dry and residue-free, and
that the adapter has not been damaged during handling or by the cleaning
process.

9.4 Maintenance and Replace of the Accessories

The device should be checked and maintained regularly by professional
personnel to identify whether it is operating properly. Do not use the device if it is
operating abnormally.

Caution: Always unplug the device from the power source before changing
any accessories. Service personnel should use caution when repairing
broken power cables.

9-3
 Patient Monitor User’s Manual

 Note: The device’s electric schematic and element list should only be
supplied to an eligible service center or qualified personnel.

9-4
 Patient Monitor User’s Manual

Chapter 10 Accessories

 Warning:
 Use only accessories specified in this manual. Using other accessories may
cause damage to the monitor.
 Disposable accessories are designed for single-patient use only. Reuse of them
may cause a risk of contamination and affect measurement accuracy.
 Check the accessories and their packages for any sign of damage. Do not use
them if any damage is detected.

10.1 SpO2
 Nellcor SpO2 sensor

Type Model Patient category

MAX-A Adult finger (patient size>30kg)
MAX-P Pediatric foot/hand (patient size 10-50kg)
Disposable MAX-I Infant foot/hand (patient size 3-20kg)
Adult finger or neonatal foot/hand (patient
MAX-N
size >40 kg or <3 kg)
DS-100A Adult
Reusable OXI-A/N Adult / neonatal
OXI-P/I Pediatric / infant

 Nellcor SpO2 Extension cable

Accessories Model / PN

Extension cable 15-100-0144

 BLT SpO2 sensor

Type Patient category PN

Adult 15-100-0013
Reusable Pediatric 15-100-0014
Neonatal 15-100-0015

10-1
 Patient Monitor User’s Manual

 SpO2 Extension cable

Accessories PN
Extension cable 15-031-0007

 Masimo SpO2 Sensor

Type Model / PN Patient category

M-LNCS DCI Adult finger
Reusable M-LNCS DCIP Pediatric finger
M-LNCS YI Neonatal
M-LNCS Neo Neonatal foot
Disposable
M-LNCS Inf Infant toe
 Masimo SpO2 Extension cable

Accessories Model / PN
Extension cable 15-100-0186

10.2 NIBP
 Disposable cuffs

Patient category Model Limb circumference (cm)

M5541-1# 3-5.5
M5541-2# 4-8
Neonatal
M5541-3# 6-11
M5541-4# 7-13
 Reusable cuffs

Patient category Model Limb circumference (cm)

Adult RNC0001A 27~35

Small adult RNC0002X 18~26
Pediatric RNC0003I 13~20
Infant RNC0004E 13~20
Neonatal RNC0005N 9~16
Neonatal M5121 6~11
Pediatric M5123 18~26
Adult M5124 25~35
Large adult M5125 33~47

10-2
 Patient Monitor User’s Manual

Adult thigh M5126 44~53

10.3 CO2 (LoFlo)

Accessories PN
LoFlo CO2 sensor 16-100-0016
CO2 nasal cannula (adult) 15-100-0044
CO2 nasal cannule (pediatric) 15-100-0048
CO2 nasal cannule (infant) 15-100-0049

10.4 Temp
F3000 Fast Temp
Accessories Model
F3000 fast temp probe(Red) 500037
F3000 fast temp probe (blue) 500027
Fast temp probe cover 500500

10-3
 Patient Monitor User’s Manual

Appendix A Product Specifications

A.1 Safety Specifications
According to the MDD 93/42/EEC, the monitor is Type Ⅱb equipment.
Classified according to the IEC60601-1 is as follows:
Degree of Degree of
Classification of Degree of
protection protection
protection protection Mode of
Parts against against
against electric against electric operation
ingress of hazards of
shock shock
liquid explosion

Mainframe I No mark

Temp Module Type CF

applied part
NIBP Module
defibrillation IPX1 Not suitable Continuous
NA
SpO2 Module proof

Type BF
CO2 Module
applied part

Note:
I: Class I, internally and externally powered equipment.
When you doubt about the protecting earth integrality or protecting earth lead of the
equipment, you’d better change the equipment to internally powered equipment..
NA: Not applicable.
CF: Type CF applied part.
BF: Type BF applied part.
Not suitable: Equipment is not suitable for use in the presence of flammable
anesthetic mixture with air or with oxygen or nitrous oxide.

A.2 Environmental Specifications

Operating temperature +5℃ to +40℃
Operating humidity 15% to 85%（non condensing）
Operating atmospheric
700hPa to 1060hPa
pressure
Transportation and -20℃ to +55℃

1
 Patient Monitor User’s Manual

storage temperature
Transportation and
10% to 93%（non condensing）
storage humidity
Transportation and
storage atmospheric 500hPa to 1060hPa
pressure

A.3 Physical Specifications

Model Weight（kg） Size(W×H×D)(mm) Remarks
Including screen, stationary
308mm × 233mm × parameter module, a lithium
V9 <4kg
125mm battery, printer, without
accessories.

A.4 Power Specifications

Input voltage 100V-240V AC
Frequency 50Hz/60Hz
Earth leakage current <0.3 mA
Input current 1.5A-0.7A
Standard requirement According to IEC 60601-1 and IEC 60601-1-2
Fuse T 2A/250V, integrated in the power module

A.5 Hardware Specifications

A.5.1 Display

Mainframe display
Type Color TFT LCD
Size （diagonal） 8 inch
Resolution 800×600 pixels

A.5.2Printer

Model BTR50

2
 Patient Monitor User’s Manual

Type Thermal dot array

Horizontal resolution 16 dots/mm（at25 mm/s paper speed）
Vertical resolution 8 dots/mm
Paper width 48 mm
Paper length 15 m
Recording speed 12.5 mm/s, 25 mm/s, 50 mm/s
Recording waveform 1 track, 2 track
Recording way Real-time recording, periodic recording, alarm recording

A.5.3 Battery

Type Rechargeable lithium ion battery

Model DVAUS-BLT-001
Size 200mm×57mm×24mm
Weight <360 g
Quantity 1
Rated voltage 10.8 VDC
Capability 6600 mAh
Operating time Over 10 hours;
One new and fully charged battery at 25℃ ambient
temperature, using SpO2, Temp, and NIBP on AUTO mode
for 15 minute interval.
Charge time 6h to 100%（Standby）
Turn off delay 5 min -15 min after the low battery alarm first occurs.

Indicator of battery
With
capability

A.5.4 Mainframe LED

Physiologic alarm 1 (Yellow/Red)

Technical alarm 1 (Cyan)
Power indication LED 1 (Green/Orange)
When supply by AC power, power indication LED

3
 Patient Monitor User’s Manual

displays in green at the time power on or power off the

monitor.
When supply by internal battery, power indication LED
displays in orange at the time power on the monitor,
there is no LED display when power off.
Battery charging 1 (Orange)

A.5.5 Audio indicating

Speaker Gives audible alarm( sounds as DO, DO,DO)

Supports Pitch Tone( sounds as DE, DE,DE)
Alarm tones meet the requirement of IEC 60601-1-8.
Alarm pressure 45 dB to 85 dB. Test distance is 1 meter from the tone.

A.5.6 Input device

Keys
Key Numbers 1 power button
Touch screen
Touch screen input With
Others
Mouse input Support
Keyboard input Support

A.5.7 Connectors

Power 1 x AC power inlet

Wired network 1 x standard RJ45 interfaces.10-100 BASE-TX, IEEE 802.3

USB 2 x standard USB socket (for the connections to peripherals)

Equipotential 1
grounding point
Nurse call 1 x RJ11 connector for nurse call

A.5.8 Signal Output

Nurse call output

4
 Patient Monitor User’s Manual

Drive mode Relay

Electric specification ≤60W, ≤2A, ≤36VDC, ≤25VAC
Isolated voltage 1500 VAC
Signal type N.C., N.O.

A.5.9 Data Storage

Patient numbers ＞1000

Parameter ＞5000 items
measurement event
alarm event ＞100000items
Log event ＞10000 items

A.6 Measurement Specifications

A.6.1 SpO2

BLT SpO2
SpO2
Measurement
BLT SpO2 technique
technique
Measurement range 0% to 100%
Resolution 1%
70% to 100%: ±2%
Accuracy
0% to 69%: unspecified
Update Period 1s
Average time 8s
Recovery time after
<5s
defibrillation
PR modulation tone
with
（Pitch Tone）
Alarm range 0% to 100%, high/low limit can be adjusted continuously.
PR
Reference method for Electronic pulse simulator

5
 Patient Monitor User’s Manual

the computation of PR
accuracy
Measurement range 20bpm to 250 bpm
Resolution 1 bpm
Accuracy ±1% or ±1 bpm, whichever is the greater
0bpm～300bpm, high/low limit can be adjusted
Alarm range
continuously.

Nellcor SpO2
SpO2
Measurement range 0% to 100%
Resolution 1%
70% to 100%: ±2%（adult/pediatric）
Accuracy 70% to 100%: ±3%（neonate）
0% to 69%, unspecified
Alarm range 0% to 100%, high/low limit can be adjusted continuously.
Update Period 1s
Recovery time after
<5s
defibrillation
PR
Reference method for
the computation of PR Electronic pulse simulator
accuracy
Measurement range 20 bpm to 300 bpm
20 bpm to 250 bpm: ±3 bpm
Accuracy
251 bpm to 300 bpm: unspecified
Resolution 1 bpm
0bpm～300bpm, high/low limit can be adjusted
Alarm range
continuously.

6
 Patient Monitor User’s Manual

Masimo SpO2
SpO2
Measurement range 0% to 100%
Resolution 1%
70% to 100%:±2%（adult/pediatric, non-motion conditions）
70% to 100%:±3%（neonate, non-motion conditions）
Accuracy
70% to 100%:±3%（motion conditions）
0% to 69%,unspecified
Average time 2-4s, 4-6s, 8s, 10s, 12s, 14s, 16s
Recovery time after
<5s
defibrillation
PR
Reference method for
the computation of PR Electronic pulse simulator
accuracy
Measurement range 25 bpm to 240 bpm
±3 bpm（non-motion conditions）
Accuracy
±5 bpm（motion conditions）
Resolution 1 bpm
PI
Measurement range 0.05% to 20%
Note 1: The Masimo sensors have been validated for motion accuracy in human blood
studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and
tapping motions, at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non-repetitive motion between 1
to 5 Hz at an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70-100% SpO2
against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one
standard deviation, which encompasses 68% of the population.

A.6.2 NIBP

Standard IEC 80601-2-30

Measurement way Automatic oscillometry
Measurement kinds Sys, Dia, Map,PR
Measurement range Adult Sys 30~270 mmHg

7
 Patient Monitor User’s Manual

（mmHg） Dia 10~220 mmHg

Map 20~235 mmHg
Sys 30~235 mmHg
Pediatric Dia 10~220 mmHg
Map 20~225 mmHg
Sys 30~135 mmHg
Neonatal Dia 10~110 mmHg
Map 20~125 mmHg
Cuff pressure range 0 mmHg to 300 mmHg

Resolution 1 mmHg
Pressure accuracy
Static: ±3 mmHg
Clinic: Average error: ±5 mmHg, standard deviation: ≤8 mmHg
Unit mmHg, kPa
Automatic pressure
Automatic zero after power on.
zero
The cuff will deflate automatically when power is off or
time of measurement is beyond 120 seconds (90 seconds
Cuff auto deflation
for neonate) or the cuff pressure is beyond the overpressure
protection set by software and hardware.

Aerate time of cuff Less than 40s every time (for standard cuff of adult).

Normally, it is 20s to 45s (depending on HR and moving

Measurement time
interference typically)
Adult: (297±3) mmHg
Software overpressure
Pediatric: (252±3) mmHg
protection
Neonatal: (147±3) mmHg
Intervals for periodic
5 min~240min, continuously adjustable.
measurement time
Recovery time after
<5s
defibrillation
Alarm range Sys 0 mmHg to 300 mmHg, high/low limit can be

8
 Patient Monitor User’s Manual

adjusted continuously.
0 mmHg to 300 mmHg, high/low limit can be
Dia
adjusted continuously.
0 mmHg to 300 mmHg, high/low limit can be
Map
adjusted continuously.
Blinking display of the data and parameters, text prompts,
Three levels of alarming: sound-light alarming, alarming
Alarm Indication
with blinked data and parameters, and that with text
prompts.
Adult Single, Cycle, STAT, Averaging
Work mode Pediatric Single, Cycle, STAT, Averaging
Neonatal Single, Cycle
PR

PR range 40bpm to 240 bpm

Resolution 1 bpm

Accuracy ±3 bpm or 3%, whichever is the greater

A.6.3 CO2

 LoFlo CO2 module

Capnogram displayed in less than 20 s, At an ambient

Warm up time
temperature of 25℃, full specifications within 2 minutes.
Measurement range 0% to 19.7 %（0 mmHg to 150 mmHg）
Resolution 0.1% or 1 mmHg
Accuracy specification will be maintained over a 6 hour
Stability
period.
Unit %, mmHg, kPa
0 mmHg to 40 mmHg, ±2 mmHg
41 mmHg to 70 mmHg, ±5% of reading
Accuracy
71 mmHg to 100 mmHg, ±8% of reading
( 760mmHg，
101 mmHg to 150 mmHg, ±10% of reading
temperature is 25℃)
(when RR ＞80 rpm, all the range is ±12% of reading)
Gas temperature at 25℃
Total time of system ＜3s

9
 Patient Monitor User’s Manual

response
Recovery time after
＜5s
defibrillation
Sampling frequency Sampling frequency: 50mL/min
and accuracy of gas Accuracy: -7.5mL/min～+15mL/min

 awRR

Measurement range 0 rpm~150 rpm

0 rpm～70 rpm: ±1 rpm;
Measurement accuracy 71 rpm～120 rpm: ±2 rpm;
121 rpm～150 rpm: ±3 rpm.
Range: 0rpm~150rpm，high/low limit can be adjusted
Alarm range and
continuously.
accuracy
Accuracy: ±1 rpm

10
 Patient Monitor User’s Manual

A.6.4 Fast Temp

F3000 Fast Temp

Sensor type Thermosensitive sensor
Measurement range 30.0C~43.0C
Measurement part Oral, Axillary, Rectal
Direct mode: Monitor modes
Measurement modes
Adjusted mode: Quick modes and Cold modes
Unit ℃, ℉
Resolution 0.1℃
Accuracy of Laboratory(Constant temperature water tank):
Accuracy
±0.1°C (±0.2°F)
Adjusted mode: Oral 6-10 seconds
Axillary Mode10-14 seconds
Measurement time
Rectal Mode14-18 seconds
Direct Mode (All Sites): 60-120 seconds

Update time Every 1s

Recovery time after

＜5s
defibrillation

Preheat time About 800ms

Self-checking Every 3s
Alarm range 30.0~43.0℃, high/low limit can be adjusted continuously.
Three levels of alarms: sound-light alarms, color change in
Alarm indication
alarm limits area; and alarms with text prompts.

11
 Patient Monitor User’s Manual

Appendix B Factory Defaults

This chapter is about factory defaults setup. The user can’t change the factory
defaults. Qualified personnel must input a password through【SETTINGS】→
【ADVANCED】to change the factory defaults.

B.1 Date /Time

Date /Time general setting Factory Defaults
Date type yyyy/mm/dd
Time zone GMT 8

B.2 Alarm
Alarm setup Factory defaults
Minimum alarm volume Low
Allow control alarm audio No selection
Active reminder signal √
Alarm paused time 30s
Nurse call threshold Low
Nurse call relay type Normally close
Nurse call trigger mode Continual
Remind signal interval 30sec

B.3 Optional
Item Factory defaults
Measure SpO2 √
Measure temperature √
Measure CO2 √
Allow use of USB devices √
Allow user to select device profile √
Enable nurse call √

12
 Patient Monitor User’s Manual

B.4 PR
PR setup Factory defaults
Source SpO2
Alarm limit status Alarm limits on

B.5 SpO2
SpO2 setup Factory defaults
SPO2 display SPO2value
Response time Normal:16s
Sweep Speed 25mm/s
Alarm limit status Alarm limits on

B.6 NIBP
NIBP setup Factory defaults
Default patient type Adult
Unit mmHg
Alarm limit status Alarm limits on

B.7 CO2
CO2 setup Factory defaults
Sweep Speed 12.5mm/s
Unit %, mmHg, kPa
Wave range 8%
ETCO2 time period 10s
Alarm limit status Alarm limits on

B.8 Temp
Temp setup Factory defaults
Unit ℃
Alarm limit status Alarm limits on

13
 Patient Monitor User’s Manual

B.9 Other
Other setup Factory defaults
Height U/M Cm
Weight U/M kg

B.10 Data
Data setup Factory defaults
Patient name format Patient ID
Clinician name format Full name
Automatically send data to EMR on manual save √
Delete measurement data after successful send √
Clinician info display Clinician name

B.11Network
Network setup Factory defaults
Network type Wired LAN network

14
 Patient Monitor User’s Manual

Appendix C Alarm Messages

The alarm levels are as follows:
Physiological alarm Alarm level
SpO2 lower alarm limit exceeded High
NIBP SYS high /low Medium
NIBP DIA high /low Medium
NIBP MAP high /low Medium
PR high /low Medium
SpO2high /low High
TEMP high /low Low
Search timeout High
EtCO2 high/ low Medium, User can select
Medium or High
FiCO2 high
CO2Apnea High

Technical alarm Alarm level

Battery Low High
NIBP
Self-Test Error Low
System Failure Low
Loose Cuff Low
Air Leak Low
Air Pressure Error Low
Weak Signal Low
Range Exceeded Low
Excessive Motion Low
Overpressure Detected Low
Signal Saturated Low
Time Out Low
Cuff Type Error Low
Zero Calibration Error Low
Calibration Failure Low

15
 Patient Monitor User’s Manual

Hardware overpressure: Zero Calibration Low

Error
Hardware overpressure: Calibration Low
Failure
SpO2
Sensor off Medium
SpO2 Searching for pulse... Low
TEMP
Upper alarm limit exceeded Low
Lower alarm limit exceeded Low
TEMP Module Failure Low
CO2
CO2 sensor off Low
Check airway adapter Low
CO2 measurement over range Low
CO2 sensor error Low
CO2 communication error Medium
Sensor Over Temp Low
Check CO2 Sampling Line Low
Zero Required Low
Sensor no initialized Low

All the alarm levels including physiologic alarms and technical alarms can not
be changed by users.

16
 Patient Monitor User’s Manual

Appendix D Guidance and Manufacturer’s

Declaration of EMC
Guidance and manufacturer’s declaration – electromagnetic emissions
-for all EQUIPMENT and SYSTEMS
Guidance and manufacture’s declaration – electromagnetic emission
The monitor is intended for use in the electromagnetic environment specified below. The customer
or the user of the monitor should assure that it is used in such and environment.
Emission test Compliance Electromagnetic environment – guidance
RF emissions The monitor uses RF energy only for its internal
CISPR 11 function. Therefore, its RF emissions are very low
Group 1
and are not likely to cause any interference in
nearby electronic equipment.
RF emission The monitor is suitable for use in all establishments
Class B
CISPR 11 other than domestic and those directly connected to
Harmonic emissions the public low-voltage power supply network that
Class A
IEC 61000-3-2 supplies building used for domestic purposes.
Voltage fluctuations/
flicker emissions Complies
IEC 61000-3-3

Guidance and manufacturer’s declaration – electromagnetic immunity

–for all EQUIPMENT and SYSTEMS
Guidance and manufacture’s declaration – electromagnetic immunity
The monitor is intended for use in the electromagnetic environment specified below. The customer or
the user of monitor should assure that it is used in such an environment.
Electromagnetic
Immunity test IEC 60601 test level Compliance level
environment - guidance
Electrostatic ±8 kV contact ±8 kV contact Floors should be wood,
discharge (ESD) ±2 kV, ±4 kV, ±8 kV, ±2 kV, ±4 kV, ±8 kV, concrete or ceramic tile. If
IEC 61000-4-2 ±15 kV air ±15 kV air floor are covered with
synthetic material, the relative
humidity should be at least
30%.
Users must eliminate static in
their hands before use it.
Electrical fast ± 2 kV for power ± 2 kV for power Mains power quality should be
transient/burst supply lines supply lines that of a typical commercial or
IEC 61000-4-4 ± 1 kV for ± 1 kV for hospital environment.
input/output lines input/output lines

17
 Patient Monitor User’s Manual

Surge ± 0.5kV, ± 1 kV ± 0.5kV, ± 1 kV Mains power quality should be

IEC 61000-4-5 line(s) to lines line(s) to lines that of a typical commercial or
± 0.5kV, ± 1 kV, ± 2 ± 0.5kV, ± 1 kV, ± 2 hospital environment.
kV line(s) to earth kV line(s) to earth
Voltage dips, 0 % UT; 0.5 cycle At 0 % UT; 0.5 cycle Mains power quality should be
short 0°, 45°, 90°, 135°, At 0°, 45°, 90°, 135°, that of a typical commercial or
interruptions and 180°, 225°, 270°and 180°, 225°, 270°and hospital environment. If the
voltage variations 315° 315° user of the monitor requires
on power supply continued operation during
input lines 0 % UT; 1 cycle and 0 % UT; 1 cycle power mains interruptions, it
IEC 61000-4-11 70 % UT; 25/30 and is recommended that the
cycles 70 % UT; 25/30 monitor be powered from an
Single phase: at 0° cycles uninterruptible power supply
Single phase: at 0° or a battery.
0 % UT; 250/300
cycles 0 % UT; 250/300
cycles
Power frequency 30 A/m 30 A/m Power frequency magnetic
(50Hz) magnetic fields should be at levels
field characteristic of a typical
IEC 61000-4-8 location in a typical
commercial or hospital
environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.

18
 Patient Monitor User’s Manual

Guidance and manufacturer’s declaration – electromagnetic immunity

–for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING
Guidance and manufacture’s declaration – electromagnetic immunity
The monitor is intended for use in the electromagnetic environment specified below. The customer or the
user of monitor should assure that it is used in such an environment.
Compliance Electromagnetic environment -
Immunity test IEC 60601 test level
level guidance
Portable and mobile RF communications
equipment should be used no closer to
any part of V9, than the recommended
separation distance calculated from the
equation applicable to the frequency of
Conducted RF 3V 3V the transmitter.
IEC 61000-4-6 0.15 MHz to 80 MHz 0.15 MHz to 80 Recommended separation distance
MHz  3.5 
d   P
6 V in ISM and amateur 6 V in ISM and
V 1  150 KHz to 80 MHz
radio bands between amateur radio  3.5 
0.15 MHz and 80 MHz bands between d   P
0.15 MHz and  E1  80 MHz to 800 MHz
80 MHz  7 
d   P
 E1  80 MHz to 2.7 GHz
where P is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the recommended
Radiated RF 10V/m 10V/m separation distance in meters (m).
IEC 61000-4-3 80 MHz to 2.7 GHz Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey, a should be
less than the compliance level in each
frequency range.
Interference may occur in the vicinity of
equipment marked with the following
symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones

19
 Patient Monitor User’s Manual

and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the monitor is used exceeds the applicable RF compliance level above, the monitor
should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as reorienting or relocating the monitor
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Recommended separation distances between portable and mobile RF communications

equipment and the EQUIPMENT or SYSTEM – for EQUIPMENT or SYSTEM that are
not LIFE-SUPPORTING
Recommended separation distances between
portable and mobile RF communications equipment and the monitor
The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances
are controlled. The customer or the user of the monitor can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the monitor as recommended below, according to the maximum output power of the
communications equipment.
Rated maximum Separation distance according to frequency of transmitter
output power of (m)
transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
(W)
d  1.2 P d  1.2 P d  2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in metres (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.

20
 Patient Monitor User’s Manual

Recommended separation distances between portable and mobile RF communications

equipment and the EQUIPMENT or SYSTEM – for EQUIPMENT or SYSTEM that are
not LIFE-SUPPORTING
declaration - IMMUNITY to proximity fields from RF wireless communications equipment
The monitor is intended for use in an electromagnetic environment in which RF wireless
communications equipment are controlled.
IEC60601 test level Electromagne
Compliance tic
Immunity test Test Maximum Immunity
Modulation level environment -
frequency power level guidance
**Pulse
385 MHz Modulation: 1.8W 27 V/m 27 V/m
18Hz
*FM+ 5Hz
450 MHz deviation: 2W 28 V/m 28 V/m
1kHz sine
710 MHz **Pulse
745 MHz Modulation: 0.2 W 9 V/m 9 V/m
780 MHz 217Hz

Radiated RF 810 MHz **Pulse

IEC 870 MHz Modulation: 2W 28 V/m 28 V/m
61000-4-3 930 MHz 18Hz
1720 MHz **Pulse
1845 MHz Modulation: 2W 28 V/m 28 V/m
1970 MHz 217Hz
**Pulse
2450 MHz Modulation: 2W 28 V/m 28 V/m
217Hz
5240 MHz **Pulse
5500 MHz Modulation: 0.2 W 9 V/m 9 V/m
5785 MHz 217Hz
Note * - As an alternative to FM modulation, 50 % pulse modulation at 18 Hz may be used because
while it does not represent actual modulation, it would be worst case.
Note** - The carrier shall be modulated using a 50 % duty cycle square wave signal.

 Warning:
 This product needs special precautions regarding EMC and needs to be
installed and put into service according to the EMC information provided.
This unit can be affected by portable and mobile RF communications
equipment.

21
 Patient Monitor User’s Manual

 Do not use a mobile phone or other devices that emit electromagnetic fields
near the unit. This may result in incorrect operation of the unit.

Caution:
 This unit has been thoroughly tested and inspected to assure proper
performance and operation.
 This machine should not be used adjacent to or stacked with other equipment.
If such positioning is necessary, this machine should be observed to verify
normal operation in the configuration in which it will be used.

22
 Patient Monitor User’s Manual

Appendix E Troubleshooting
E.1Normal Trouble
Possible Possible Reason Trouble Shooting
Trouble
Startup failure 1. The device is not turned 1. Open the device
on 2. Make sure the external power
2.External power supply supply system works normally.
failure 3.Connect the power wire or
3. No battery or the power install the battery
wire is not connected 4.Connect the device to AC
4.The battery charge is not power supply, recharge the
strong enough to power the battery
device
Blank screen 1.The device is not turned 1.Turn on the device
on 2.Press any button on the device
2.The device is in standby to illuminate the screen
mode
Printer doesn’t 1.The paper is not loaded 1.Load paper according to the
work 2. The printer door is not user’s manual
fully closed. 2. Ensure the printer door is fully
3. The printer is too hot. closed.
3. Start the operation again after
the printer as a chance to cool.
Printer paper 1.Specified paper is not 1.Use the correct paper
does not fit used 2. Install the paper according to
2. The paper is installed the user’s manual or product
improperly. diagram.
3. Software failure 3.Turn off the device then start it
again
Printer paper 1. Specified paper is not 1. Use the correct paper
jam used 2. Install the paper according to
2. The paper is installed the user’s manual or product

23
 Patient Monitor User’s Manual

Possible Possible Reason Trouble Shooting

Trouble
improperly diagram..
The scanner 1. The scanner is not 1. Connect the scanner to the
doesn’t work connected to the device or main USB port. Ensure the
they have poor contact. connection is secure.
2. Scanner breakdown 2.Change the scanner to one that
functions properly
The device The battery charge is not Connect the device to AC power
automatically strong enough to power the supply to recharge the battery.
shutdown device.

E.2Prompt Information
Prompt Information Possible Reason

Printer Out of Paper Printer paper is not installed or paper is used up

Medium level alarm means the battery life is less than

Battery Low 30min; high level alarm means the battery life is less
than 5min.

DEMO The system is in demonstration mode.

Insufficient storage space The space of the storage medium is less than 10MB

Critical shortage of
The space of the storage medium is less than 5MB
storage space
There are too many log
Over 5000 items have been logged.
entries.
Critical shortage of space
Over 7000 items have been logged.
for log entries.
The SPO2 sensor is off from the finger or it is not placed
SpO2 Sensor off
rightly.

SpO2 No sensor There is no SPO2 sensor on the device.

SpO2 Searching for

The SPO2 module is searching for pulse
pulse...

24
 Patient Monitor User’s Manual

Prompt Information Possible Reason

SpO2 Replace Cable The cable of the Masimo SPO2 module must be changed

SpO2IncompatibleCable The cable of the Masimo SPO2 module is incompatible

The cable of the Masimo SPO2 module can’t be
SpO2 Unrecognized Cable
recognized
The sensor of the Masimo SPO2 module can’t be
SpO2 No Sensor
detected
SpO2 Invalid Sensor Thesensor of the Masimo SPO2 module is invalid
The sensor of the Masimo SPO2 module needs to be
SpO2 Replace Sensor
changed

SpO2 Calibrate Sensor The Masimo SPO2 module is calibrating

The patient’s fingeris moving toomuch during SPO2

SpO2 Motion Interference
measurement
The signal of the patient’s finger is too low during SPO2
SpO2 Low perfusion
measurement
NIBP Cuff Type Error The cuff type is wrong

An internal valve, air hose, or the cuff is leaking air.

NIBP Air Leak Or Loose The cuff is not wrapped properly around the patient’s
Cuff limb.
An adult cuff is used in neonate mode

NIBP Air Pressure Error The system can’t maintain a stable air pressure.

The cuff is wrapped too loosely, leading to a low patient

NIBP Weak Signal signal.
The pulse of the patient is very weak.
The NIBP value exceeds the measurement range
NIBP Range Exceeded
(275mmHg)
The patient is moving too much.
The signal noise is too loud when use deflation to detect
NIBP Excessive Motion
the patient’s pulse pressure.
The patient’s pulse is random.

NIBP Overpressure There is too much cuff pressure. Pressure exceeds the set

25
 Patient Monitor User’s Manual

Prompt Information Possible Reason

Detected safe range (adult mode is 325mmHg，neonate mode is

165mmHg)
Too much patient movement has impacted the NIBP
NIBP Signal Saturated
signal amplifier.
The time exceeds 120s in adult mode;
NIBP Time Out
The time exceeds 90s in neonate mode;

TEMP No Probe The fast temp probe is not connected.

TEMP too high/ too low The temp value exceeds the measurement range

26
Product name: Patient Monitor

Product model:V9

Manufacturer: Guangdong Biolight Meditech Co., Ltd.

Address: No.2 Innovation First Road, Technical Innovation Coast,

Hi-tech Zone, Zhuhai, P.R. China

Fax: +86-756-3399919

Post code: 519085

Toll-free consultation hot line: +86-400-8818-233

PN: 22-071-0003