Multi-parameter monitor

Operating Manual
 Thank you for using our latest physical health tester (hereinafter referred to as the
tester)
In order to make you can skillfully operate the monitor as soon as possible, we
provided with the detailed operation manual (this manual). Please read carefully when the
first time you install and use the instrument.
Based on the need of improving performance and reliability of the components
and equipment, sometimes we make some changes to instruments (including
hardware and software). In the meanwhile, we will try to change or add information,
but please understand that the manual may do not account with physical truth. If there
is any mistake or omission in the instruction manual, you are welcome to correct it.
Warning
1) There are no components that can be repaired by customers. Please do not
disassemble them when failure occurs.
2) This instrument is not a therapeutic device and can not be used in families
3) Do not touch patients, tables and instruments during defibrillation.
4) Before cleaning this instrument, the power supply of the net must be cut
off.
5) The instrument shall not be used in places with high temperature, high
humidity, inflammable, excessive dust and electromagnetic radiation .
6) Ensure the safety and stability of the power grid and grounding
environment of this instrument.
（Other details are provided in the manual）

Statement
The manufacturer owns the copyright of the unpublished instruction book and
has the right to treat it as confidential material. This instruction is only provided as a
reference for the operation, maintenance and repair of products.
This instruction manual contains unpublished information protected by
copyright law. No part of this instruction shall be photocopied, copied or translated
into any other language without the written consent of the manufacturer.
The content and version number in this instruction may be upgraded at any time
as a result of changes in software or technical specifications without prior notice.
The version number of this instruction: 1.0

Responsibility of manufacturer
 The manufacturer is responsible for safety, reliability and performance of this equipment only in
the condition that:

 All installation, expansion, change, modification and repair of this equipment are
conducted by qualified personnel;

 Applied electrical appliance is in compliance with relevant National Standards;

 The monitor is operated under strict observance of this manual.

 CATALOGUE
Chapter 1 Composition of the main structure ................... 1

Chapter 2 Scope of application ................................ 1

Chapter 3 Contraindications, Precautios ....................... 1

Contraindications .........................................1
Precautions ................................................1
Chapter 4 Summary ............................................. 2
4.1 Brief introduction of Monitor ............................. 2
Appearance and model of monitor ............................ 4
Function keystroke area and encoder ....................... 5
Function keystroke area identification and operation
instructions .................................... 5
Display interface introduction .............................6
Key function and basic operation ......................... 11
External interface of monitor ............................ 12
Built-in rechargeable battery ............................. 15
Chapter 5 Installation of monitor ............................ 17
Get out of the box and check .............................. 17
Electrical connection ..................................... 17
Power on .................................................... 17
Sensor connection ......................................... 18
Inspection of recorders ................................... 18
Chapter 6 Menu ................................................19
Mute ...................................................... 19
Physiological alarm ....................................... 19
Freeze .................................................... 20
Volume Regulation ......................................... 20
Alarm setting ............................................. 21
Event review .............................................. 21
Drug Calculation .......................................... 23
Heart rate disorder ...................................... 23
Blood pressure measurement................................ 23
Print ..................................................... 23
 Trend table review ....................................... 23
Trend chart review ....................................... 25
Default configuration .................................... 26
Patient information ...................................... 26
Previous interface ....................................... 27
Next interface ........................................... 27
Standby .................................................. 27
Setup menu ............................................... 28
Return to the desktop .................................... 33
Chapter 7 Patient safety ..................................... 34
Power requirement ......................................... 34
Grounding of Monitor ...................................... 34
Equipotential grounding ................................... 35
Condensation .............................................. 35
Interpretation of symbols used on monitors ................ 35
Chapter 8 Alarm ...............................................36
Summary ................................................... 36
Alarm attribute........................................... 36
Alarm prompt form ......................................... 38
Alarm state ............................................... 39
Alarm mode ................................................ 40
Alarm setting ............................................. 41
Parameter alarm ........................................... 42
Measures to be taken when alarm occurs ................... 43
Chapter 9 ECG/RESP ........................................... 43
Electrocardio monitoring .................................. 43
ECG monitoring operation method........................... 44
ECG menu .................................................. 49
ECG alarm information and prompt information.............. 51
Respiration measurement ................................... 53
RESP alarm and prompt information ......................... 55
Chapter 10 Degree of blood oxygen saturation（SPO2） ......... 56
Monitoring of blood oxygen saturation ..................... 56
Operational method of oxygen saturation monitoring ....... 58
 Limit of blood oxygen saturation monitoring............... 58
Oxygen saturation menu .................................... 59
Oxygen saturation alarm information ...................... 61
Chapter 11 Temperature（TEMP） ............................... 63
Temperature monitoring instructions ......................63
Temperature menu .......................................... 63
Body temperature alarm information and warning information.64
Chapter 12 NIBP ............................................ 66
Noninvasive blood pressure monitoring instructions .......66
Non invasive blood pressure monitoring operation .........66
Noninvasive blood pressure menu .......................... 69
NIBP alarm and prompt information .........................73
Chapter 13 Maintenance and cleaning of systems ............... 78
Cleaning of monitor ....................................... 78
Cleaning of monitor ....................................... 78
Battery maintenance and maintenance ......................79
Cleaning and disinfection of accessories .................80
 Manual for multi-parameter monitor

Chapter 1 Composition of the main structure

The multi-parameter monitor consists of mainframe, cardiac conductance wire, non-invasive

blood pressure cuff, temperature sensor, pulse oxygen saturation sensor and carbon dioxide plug-in
module.

Chapter 2 Scope of application

Suitable for monitoring and measurement of heart rate / pulse rate, noninvasive blood pressure (systolic
blood pressure, diastolic blood pressure, mean pressure), respiratory rate, ECG, oxygen saturation, body
temperature and end-breath carbon dioxide in adults and children.

Chapter 3 Contraindications, Precautions

Contraindications
This instrument is not a therapeutic device. This product has no contraindication.

Precautions

Warning：

 The multi-parameter monitor is used for clinical patient monitoring and only allows
doctors and nurses to use the monitor.

 Do not open the casing of the instrument to avoid possible electrical hazard. Any
maintenance and upgrading of the monitor must be performed by our trained and authorized
service personnel.

 Do not use this instrument in place of flammable articles such as narcotics, in case of
explosion. 

 Electrosurgical interference caused by electromagnetic equipment or grid overload

will damage or affect the operation of the monitor.

 Before using, the user should check that the instrument and its accessories work
1
 Manual for multi-parameter monitor

properly and safely.

 To prevent delay in treatment, each patient should be adequately alerted. 

 Do not use mobile phones near the detector, which can cause excessive radiation and
thus interfere with the function of the detector.

 Do not touch patients, tables and instruments during defibrillation. 

 The interconnecting equipment with the detector should form an equipotential body
(the potential equalization wire is effectively connected). 

 This equipment is not suitable for the use of electrosurgical equipment.

 Packaging must be handled in accordance with current waste control codes and placed
out of reach of children. 

 It is suggested that the equipment should be checked every other year, and the
verification should be submitted to a qualified third party organization for verification in
accordance with the verification regulations prescribed by the state organs.

This monitor can provide some functions of measuring parameters, recorder and so on. This
instruction is for maximum configuration. The model you use may not provide some parameter monitoring or
recording functions.

Warning：

When the products and accessories described in this manual are about to expire, they must be processed
in accordance with the relevant product processing specifications. If you want further information, please
contact our company or agency.

 When there is doubt about the perfection and arrangement of the external grounding of the

monitor, the internal battery must be used to operate it.

Chapter 4 Summary

Brief introduction of Monitor

Multi-parameter monitor is a novel structure, small size, and AC-DC two-purpose equipment,
with built-in batteries to facilitate patient transfer. Heart rate / pulse rate, noninvasive blood pressure
(systolic blood pressure, diastolic blood pressure, mean pressure, respiratory rate,

2
 Manual for multi-parameter monitor

electrocardiogram, oxygen saturation, end-breath carbon dioxide and body temperature) can be monitored
and measured in adults and children.
Working environment:
Temperature: Work temperature 5 ～ 40 (C)
Transport and Storage -20 ~ 55 (C)

Humidity: Working humidity <= 85 %

Transport and Storage <= 93 %
Power supply Voltage: 220 (V) AC, 50 Hz Pmax=110VA FUSE T 1.5 A

Warning：

 Do not use this monitor outside the temperature and humidity range specified by the

manufacturer.

 This monitor is limited to one patient at the one time.

The multi - parameter monitor is rich in function and can be applied to clinical monitoring of adults
and children. Users can select different measurement parameter configurations according to different
needs.
It can monitor vital signals as ECG, Respiratory Rate, SpO2, NIBP, TEMP and IBP. It
integrates parameter measuring modules, display and recorder in one device, featuring in
compactness, lightweight and portability. Replaceable built-in battery facilitates transportation of
patient. At the same time, 7 waveforms and all monitoring parameters can be clearly displayed on its
high-resolution display interface.
The POWER switch “ ”is on the front panel of the monitor. AC indicator lamp “AC” is on the
right side of the power switch. When the instrument is alternating current, the lamp is bright green.
The charging lamp "POWER" is located on the right side of the AC light that is green and flicker
when the monitor uses an internal rechargeable battery. When using alternating current, the light is
constant green. The alarm lamp ALARM is located at the upper right of the whole machine. When
alarm occurs, this lamp flashes. The sensor Jack is on the left side of the front panel of the instrument.
The recorder is located on the right side of the machine. Other sockets and power sockets are located
on the back panel.
The monitor has a friendly interface, through the front panel keys and encoders can complete all operations,
please refer to the functional keystroke section.
Definition acronym:
Name Definition Name Definition

3
 Manual for multi-parameter monitor

ECG Electrocardiogram HR Rate of heart

RESP Respiration RR Rate of respiration

TEMP Temperature PR Pulse rate

NIBP Non-invasive blood CO2 Carbon dioxide

press

SPO2 Degree of blood

oxygen saturation

Appearance and model of monitor

12.1 inch 12.1 inch (optional touch screen) 10.1 inch

PM-9000 □
PM-9000A □
PM-9000GTA □

4
 Manual for multi-parameter monitor

Function keystroke area and encoder

Alarm silence Alarm pause NIBP start/pulse Menu

Rotary encoder can move the cursor (choice box)

Select menu options or soft buttons on the screen.
Press the encoder to confirm the current option.

Function keystroke area identification and operation

instructions

Symbol
Symbol Function keystroke operation instruction
instruction

When the monitor is connected to AC power through power supply, the

Power switch indicator indicator light is green. When the monitor has no alternating current and
AC/BAT is powered by a built-in battery, the indicator lights are orange.
lamp

5
 Manual for multi-parameter monitor

Press this button once and the monitor is turned on.

Power switch
Press this button again and the monitor shuts down.

SILENCE Alarm silence Can turn off all sounds.

Stop the alarm and make a 2-minute countdown (you can choose
PAUSE Alarm pause
"1 minutes", "2 minutes", "3 minutes").

Press this button: freeze (or thaw) the waveform.

Freeze(or Press this button long: start recording the real-time output.
FREEZE thaw)/Real-time
recording If real-time recording is being performed, short or long press of
this key will stop real-time recording.
Start (stop)
measuring blood Press this button: start (or stop) the air pump, start (or end) non-invasive
NIBP blood pressure measurement.
pressure /quick
measurement

MENU Menu Press this button to pop up the menu option.

Display interface introduction

The display screen of the monitor is a color LCD screen, which can display the patient parameters,
waveform parameters and alarm information provided by the monitor, bed, monitor status, clock and other
prompt information at the same time.
The home screen is divided into five regions
1. State information region
2. Waveform region
3. Parameter region
4. Blood pressure review list
5. Bottom menu bar

6
 Manual for multi-parameter monitor

Display main interface

Information area introduction

The information area is at the top of the screen, showing the monitor and the patient's current
state. The contents of the information area are as follows:

"Bed number": the number of beds under the guardianship of a patient.

"Gender": the sex of a patient under guardianship.
“Adult ": means the type of patient under guardianship. “
2018-05-04”：means the current date.
“17：44：04”means the current time.
Other hints in the information area appear and disappear at the same time as the reported status.
Divided according to content：
 Monitor prompts, reports the status of the monitor or sensor, fixed the area behind "adult";
 Monitor alarm information（See the "alarm" section for specific setting methods）;

It is a stop time sign for the alarm. This flag appears when you press the "PAUSE" key (less
than 1 second). It indicates that all alarm sounds have been temporarily shut down. The system does
not recover until the PAUSE button is pressed again, or the alarm pause is over. Alarm pause time can
choose "1 minute", "2 minutes" and "3 minutes".

7
 Manual for multi-parameter monitor

It's a silent alarm sign. This flag appears when the "SILENCE" button is pressed for more

8
 Manual for multi-parameter monitor

than 1 second, indicating that all alarm sounds have been manually turned off. The voice prompt is
not restored until the operator presses the "SILENCE" button again to remove the mute state, or a new
alarm event occurs in the system.

Warning：

When the alarm volume is set to 0, the system will not be able to give alarm sound
prompt, so the operator should use this function very carefully.
 When the screen waveform is frozen, the corresponding "freeze" window appears below the monitor
screen.

 Patient parameter alarm information, fixed in the far right area.

Description of Waveform / Menu Area:

The waveform area shows 4 waveforms, and the waveform display order can be adjusted.
Under the maximum configuration, the system can display two ECG waveforms, SPO 2 volumetric
waves and respiratory waveforms in the waveform area.
The name of the waveform is displayed on the upper left of each channel, and ECG leads can be
selected as required. The gain of the channel and the filtering method of the cardiac wave are also
shown on each channel. The left side of the ECG waveform has a 1-millivolt bar. When a menu pops
up in a screen operation, the menu always occupies a fixed position in the middle of the waveform
area, making a part of the waveform invisible for the time being. After exiting from the menu, restore
the original screen display.
The waveform is refreshed at the set rate, and the adjustment of the refresh rate of each
waveform is shown in the setting of each parameter.

Introduction of parameter area:

The parameter area is located on the right side of the waveform area and is basically placed in
accordance with the waveform. The parameters displayed in the parameter area are:
ECG
—Heart rate or pulse rate（Unit: beats / minutes）
SPO2
— degree of blood oxygen saturation SPO2（Unit：%）
— pulse rate（Unit: beats / minutes）（ Display when heart rate source selects simultaneous
option）
NIBP

9
 Manual for multi-parameter monitor

— Systolic blood pressure, diastolic blood pressure, mean pressure in order from left to right
(in mmHg or KPA units of mmHg)
TEMP
—Temperature (degrees Celsius or Fahrenheit Fahrenheit)
RESP
—Respiratory rate ( Unit : time / minute )
End-respiratory carbon dioxide CO2
-Carbon dioxide concentration（Unit：%、kPa、mmHg）

NIBP Measurement Review

The monitor can display the most recent 400 NIBP measurements in a NIBP measurement review.
In the "NIBP Measurement Review" list in the main Interface, 4 rows of NIBP measurements are
displayed, and up to 10 NIBP measurements and measurement times are displayed in each page of the
window.
Data are arranged in chronological order from near to far. Each page can display 10
measurements, and select the back and forth to view more late or earlier data. Up to 400
measurements can be displayed. When the number of measurements exceeds 400 times, the latest
400 times are displayed. Select record and output all measurements from the review on the
recorder.

NIBP Measurement review

Data are arranged in chronological order from near to far. Each screen can display 10
measurements, and select back and forth to view later or earlier data. Up to 400 measurements can be
displayed. When the number of measurements exceeds 400 times, the latest 400 times are displayed.

10
 Manual for multi-parameter monitor

Bottom menu bar

See chapter 6 for details.

Alarm light and alarm status:

In normal condition, the alarm light is not on.

When alarm occurs, the alarm lamp flashes or lights, the color of the lamp represents a
certain alarm level, please refer to the "alarm" section.
Please refer to each parameter in the relevant section for the specific content of alarm information
and prompt information

Key function and basic operation

The operation on the monitor can be accomplished by means of keystrokes and encoders.

 SILENCE

Press this button to block all sounds (such as alarm, heartbeat, pulse, encoder). And in the

information area there is a sign " ”Press this button again to restore all sounds and cancel the "

" symbol.

Warning：

 If a new alarm occurs in the alarm pending / mute state, the alarm pending / mute will be
automatically released. See the alarm section for details.

 Whether the alarm can recover depends on whether the cause of the alarm still exists. But pressing
the mute button can permanently turn off the alarm sound of ECG lead shedding and SPO2 sensor
shedding. 
 Alarm pause (PAUSE)
Press this button to suspend the alarm for 3 minutes (1 minute, 2 min, 3 min optional).
 FREEZE
Press this key to enter the frozen state (temporarily static, at this time you can observe better the
screen), and then press this key, the system thawed, the screen back to the monitoring state.
 Blood pressure (NIBP)
Press this button and start inflating the cuff to measure blood pressure. During measurement, press this key
to stop the measurement and vent air.

 PRINT
Press this key to start a real-time recording.

11
 Manual for multi-parameter monitor

 MENU
Press this key to pop up the system menu, where users can set system information and perform reviews
 Rotate control button instead of rotary encoder（abbreviate to encoder）
The user can rotate the encoder, select the menu item, and modify the settings. The encoder can rotate
clockwise or counterclockwise, or press. Users can use the encoder to complete all operations on the home screen,
in the system menu, and in the parameters menu.

The method of using encoder to operate the screen：

The rectangular logo on the screen that moves along with the encoder is called the cursor
where the cursor can stay can be operated.
When the cursor is in the parameter area, the user can open the menu of the related
parameters and set the relevant information of the parameters.
The procedure is as follows:
Moves the cursor to the item you want to operate on.
Press the encoder.
One of the following situations occurs in the system:
The menu or measurement window pops up in the screen, or a new menu replaces the
original menu.
The cursor with a background color becomes a box with no background color. The
contents of the representation box can vary with the rotation of the encoder.
Press the encoder to select a box with a background color to select this item and
perform a function immediately.

External interface of monitor

In order to facilitate operation, different interfaces are located on different parts of the
monitor.
On the left of the monitor is the jack of the sensor.
Electrocardiogram（ECG）：Cardiac conductance socket
Blood oxygen（SPO2）：Oxygen probe socket
Blood pressure （NIBP）：Sleeve pipe socket Temperature（T1，T2）：
Body temperature probe socket, two sockets optional Carbon dioxide（CO2）：
Carbon dioxide socket

12
 Manual for multi-parameter monitor

PM-9000
PM-9000

Right side sensor

interface

13
 Manual for multi-parameter monitor

（1） Power supply: Access network power requirements: AC220V, 50Hz；

（2） VGA：External display (without lifting this function);
（3） NET：Network interface,connect with the company's central monitoring system via a
network line with a standard RJ45 plug;
（4） Equipotential grounding terminal;
（5） Fuse, standard T 1.5A.

Warning:

 If the fuse breaks, replace the fuse with the same nominal value.
 When replacing, just pull out the cover and take out the damaged fuse. Install a
nominal fuse and then gently push the cover in place.

Identification notes on each panel

Symbol Symbol statement

CF anti-defibrillation mark

Indicates that the F application has special protection against electric shock to a greater

extent than BF (especially with allowable leakage current) and is protected against

defibrillation effects.

BF anti-defibrillation mark

Indicates that the F application has special protection against electric shock to a greater extent

than type B (especially with allowable leakage current) and is protected against

defibrillation effects.

14
 Manual for multi-parameter monitor

Warning! Please check the file of the Detector ( this instruction manual ) !

Nonionizing radiation

Dangerous voltage

Equipotential grounding end

Alternating Current (AC)

Individual handling mark for abandoned electrical and electronic equipment

Network port

ECG Electrocardiogram

RESP Respiration

SPO2 Pulse Oxygen Saturation

TEMP Temperature

NIBP Non-invasive Blood Pressure

CO2 End tidal carbon dioxide

Built-in rechargeable battery

The multi-parameter monitor is equipped with a built-in rechargeable battery. When connected
to AC power, the battery is automatically charged until it is full. When the power supply of the
equipment network is disconnected, the monitor will switch seamlessly to the battery power supply to
keep the equipment running normally. When fully charged, the monitor can be maintained for about
240 minutes, depending on the size of the model and the temperature of the working environment.
When working with a battery, the monitor will alarm when the amount of electricity is
insufficient. When the battery runs out, the monitor triggers an advanced alarm, sends out a
continuous beep, and indicates "too low battery voltage" in the message area. AC power should be
plugged into the battery to charge the battery about 2-3 hours of charge can reach about 90% of the
battery capacity. If the battery is still being used, the battery consumption indicator may indicate a
change in battery capacity. The monitor will be cut off automatically before it runs out of

15
 Manual for multi-parameter monitor

power (About 5 minutes after the warning of running out of power).

Warning：

 Waste batteries should be treated in accordance with the relevant laws of the local government, or
handed over to the environmental protection department for recycling.
 Battery charging state will not cause the performance of this equipment degradation.
 If you don't use this device for a long time, remove the battery.

16
 Manual for multi-parameter monitor

Chapter 5 Installation of monitor

Get out of the box and check

Carefully remove the monitor and accessories from the packing box and store the packaging materials for
later shipment or storage. Please count the accessories according to the packing list.
 Check for any mechanical damage.

 Check all exposed conductors and insert partial attachments 

At least 2 inches (5 cm) of space should be set aside around the monitor to ensure air circulation. Monitor
the environment to avoid vibration, dust, corrosive or explosive gas, extreme temperature and humidity, etc.
If you have any questions, please contact our sales department or agent immediately.

Electrical connection
Connect AC power cord steps:
 Make sure AC power meets the following specifications: AC220V, 50Hz;
 Use the power cord attached to the monitor. Plug the power cord into the monitor's power
interface, and put the other end of the cable into a three-core power outlet in the ground.

Warning：

Connect the power cord to the hospital socket.

If necessary, connect the equipotential ground wire. See the section on equipotential
grounding in the patient safety chapter

Warning：

In case of battery configuration, the battery must be recharged after the instrument is
transported or stored. Therefore, if the AC power supply is not connected, it may not work
properly because the battery power is insufficient. The battery can be recharged whether or not
the monitor is turned on.

Power on
About 1 minute after the power switch is turned on, the system enters the main monitor screen
successfully and the user can operate.
Do not use this monitor if you find signs of damage to the function of the monitor or an
error prompt. Please contact the biomedical engineer in the hospital or the maintenance
engineer in our company.

17
 Manual for multi-parameter monitor

Warning：

 If a fatal error is found during self-testing, the system will alert.

 Check all available monitoring functions to ensure that the monitor functions
properly.
 If a battery is configured, the battery must be recharged after each use to ensure
that there is sufficient power reserve.
 Shut down the machine for one minute before it can be turned on again.

Sensor connection
Connect the required sensors to the monitor and the patient's monitoring area.

Warning：

For correct connection methods and requirements of various sensors, please refer to the
relevant sections

Inspection of recorders
If the monitor is equipped with a tape recorder, check that the recorder on the right side of the
monitor has a paper outlet.

18
 Manual for multi-parameter monitor

Chapter 6 Menu

The configuration of this monitor is flexible. Monitoring of the content, waveform scan speed
and others can be configured by the user according to needs. Press the menu button on the front panel
to pop up the menu below and do the following:

Menu Bar

Mute
The same as Mute function key

The encoder selects "mute", press the encoder to confirm that it is in mute state, Will

appear above the interface, Indicating that all voices have been artificially shut down.

Physiological alarm
With the alarm pause function key.

19
 Manual for multi-parameter monitor

Encoder select "physiological alarm", press the encoder to make sure to enter alarm pause

state, will appear above the interface, Indicating that all alarm sounds have been temporarily
shut down. And pause the 120s countdown with the alarm (default countdown of 2 minutes, choose
"1 minute", "2 minutes", "3 minutes"), until the "physiological alarm" button is selected again, or the
alarm pause time is over, the alarm pause state is lifted.

Freeze
Same as Freeze function key.
 Freeze
 In the non-frozen state, press the "free" button on the monitor control panel, the system will enter the frozen
state, freezing state, all waveforms are frozen, that is, stop the waveform refresh.
 Thaw
In a frozen state, any of the following operating systems exits the frozen state: Select
the "Freeze" button in the bottom menu bar;
Press the "Freeze" button on the control panel again.
Any action that can cause screen adjustments or require a new menu to pop up.
After the system exits the freezing state, freezes, clears the screen waveform, and redisplays the real-time
waveform. Scan from the left side of the waveform area in scan mode, and start displaying and scrolling on the
right side of the waveform area in scroll mode.

Volume Regulation
 The setting range of the alarm volume of the monitor is between 0 and 4 , 0 is mute and 4 is the maximum
alarm tone.
 The keyboard volume of the monitor is set to turn on High, Medium and Low.
 The pulse volume of the monitor is set to range from 0 to 3. 0 is mute and 3 is the maximum pulse tone.
 The monitor's heartbeat volume is set to range from 0 to 4. 0 is mute and 4 is the maximum heartbeat.

20
 Manual for multi-parameter monitor

Alarm setting
Select alarm Settings in the bottom menu bar, and the following alarm settings page pops up:

Alarm setting

 Alarm setting step

 Enter the alarm setup interface

 Select the alarm options to set

 Press the encoder to enter the alarm item settings

 Rotate encoder to setup values

 Press the encoder to determine the settings

 Select to exit alarm settings

These settings will remain in effect unless modified again or with default settings.

Event review
This monitor can display the last 60 alarm events in the alarm event review.
In the bottom menu bar, select event Review and enter the alarm Review condition selection
interface, which displays slightly different resolutions depending on the monitor's resolution, but
contains exactly the same information:
In this menu, the user can set an alert review condition that contains the following items:
1) Start and end time of alarm Review
Users can set the start time for a review in the start time entry and the end time for a review in

21
 Manual for multi-parameter monitor

the end time entry. You can set the termination time to either the current time or the user-defined
time.

When the alarm review time is set, press the alarm event Review button to enter the alarm event
Review page, which displays slightly different resolutions depending on the monitor, but contains
exactly the same information:

The following information appears in the alarm event Review menu:

 Event type;
In the event type selection lower box, the user can select the parameters to view. Optional is
"All" (alarm event for all parameters), ECG 、 SPO2 、 NIBP 、 RESP 、 TEMP 、 CO2 、
HR_H>180(This value is higher than the alarm limit) 、HR_L<60(This value is below the lower
alarm limit) SPO2<90%、 IBP_H>200mmHg、 IBP_L<40mmHg、 RR_H>40 、 RR_L<10 、
TEMP_H>40℃、TEMP_L<34℃。
 Time interval: start and end times displayed as set
 Event time: information about alarm item time and time of occurrence.
22
 Manual for multi-parameter monitor

Events are arranged in chronological order from near to far. Select the back-to-back button and turn the
rotate button to see later or earlier events.
 Front page: Page forward operation
 Backward page：Back page operation
 Left shift：To move the appearance to the left
 Right shift：To move the appearance to the right

Drug Calculation
Not applicable.

Heart rate disorder

Blood pressure measurement

Same blood pressure measurement function key.
Start (or stop) the air pump and start (or end) non-invasive blood pressure measurements.

Print
Same as print function key.

Trend table review

 The trend chart shows 1 minute, 5 minutes, 10 minutes, 30 minutes, and 60 minutes,
according to the following resolution.
 Select trend Table Review in the bottom menu bar and pop up the following trend Table:

23
 Manual for multi-parameter monitor

Trend table menu

The time for each group of trend data is shown in the leftmost column, with dates in parentheses.
The events listed below are the events that have been marked and correspond to the time of the
marked events. The events listed below are the events that have been marked and correspond to the
time of the marked events.
HR 、 ST、 SPO2 、 PR 、NIBP (S/M/D) 、RR
The display of NIBP trend data has its particularity. In addition to the measurement value, the time when
the NIBP measurement was performed is also shown under the "measurement point". If there are multiple
measurements within the same time period, only one set of measurements can be displayed. At the same time, a
"*" is displayed at "ore" (more), indicates that there are two or more measurements.
Select a trend table with different resolutions: Use the cursor to select the resolution, use the rotation
button to change its options, and change the trend data interval.
Observed trend data of different parameters
Select left and right to select one of the six sets of parameters. On the right side of the right-most parameter is
marked " " to indicate that the page can be turned to the right, On the left side of the leftmost parameter is marked "
" to indicate that the page can be turned to the left.
Operation example
 Observe NIBP trend table:
 Press the menu button on the control panel and pop up the system menu;
 Select the trend Table Review item in the menu;
 Select parameters: select "left and right" and turn the encoder until NIBP data appears in the

24
 Manual for multi-parameter monitor

window;
 Select the resolution: select the first item on the left and select the desired data interval;
 Select turn back and forth, turn the encoder, and observe the NIBP trend data at different
times;
 Press exit to observe the exit trend table.

Trend chart review

The most recent 1 hour trend chart can be displayed at a resolution of one second, one every five
seconds and one minute; Select the trend Chart Review item in the bottom menu bar and the
following window pops up:

Trend chart menu

The Vertical Coordinates represent the measured values, and the Transverse Coordinates
represent the measuring time, on the map “ ” is the trend map cursor. The measured values of the
position indicated are shown below the trend chart and the corresponding time is displayed above the
trend chart. With the exception of NlBP, other trends are shown as continuous curves. On the NIBP
trend chart, "NS" stands for systolic pressure, "ND" for diastolic blood pressure and "NM" for mean
pressure.
 The trend chart for the selection of different parameters shows:
 Select the "parameter selection" option with the cursor, modify its display, press the rotate
button when the desired parameter appears, and the trend chart of the parameter appears in the
window.
 Get trend data at a time on the current trend map

25
 Manual for multi-parameter monitor

Select "left move cursor" / "right shift cursor", and turn the encoder. The cursor will move with it.
The time refers to will change, and the parameter value of this moment will be displayed under the
horizontal coordinate.
 Operation example
Observe the NIBP trend chart for the last 1 hour:
 Select "trend Chart Review" in the bottom menu bar;
 Select parameters: in the Parameter selection item, turn the encoder until "NIBP" appears in the
box.
 In the Resolution item, select 1 second or 5 seconds;
 Select " left and right shift ", rotate the encoder , observe the change of trend chart time , and
change the trend curve ;
 To know the measured value at a certain time, select the move cursor, move the cursor there,
the time is displayed at the top, and the measurement value is shown below the curve;
 Press exit button to observe the exit trend chart.

Default configuration
See Chapter 7. 7. 1 default settings.

Patient information

Warning：Clear current patient data see the section of this chapter, "clear patient
record data."
Select "patient information" in the bottom menu bar and enter the patient information
management interface.

Patient information management

26
 Manual for multi-parameter monitor

 Bed number 1-100 beds optional

 Gender Patient sex (male, female)

 Type of patient Patient type (adult, child, newborn)

 Pacemaker To mark a pacing signal.

 Renewal of patients Purge current monitoring patient information

In this menu, users can also select Update patient to enter the confirm Update patient dialog

box to determine whether to clear the data.

Confirm the update of patient data

 Select Yes, delete all information about the currently monitored patient, and exit the menu.

Choose "No", Continue to save patient information, and withdraw from the menu.

Warning： If yes is selected, all information about the currently monitored patient
is deleted.

Previous interface
Interface can be switched. Go to the next interface.

Next interface
Interface can be switched. Enter the previous interface.

Standby
Monitor can be set to standby. At this point, the monitoring of all parameters is suspended until the system exits the
standby state, Press any key or rotary encoder to exit standby mode, Resumption of its monitoring.
In the bottom bar menu, the user can set the current monitor status to standby, select
"standby", and pop up the dialog box shown in the following figure:

27
 Manual for multi-parameter monitor

Enter standby mode

 Select Yes and enter standby status.
 Choose No, abandon the current operation, and the system remains the same as the
original configuration.

Setup menu
Press the menu button on the front panel, pop up the menu shown below, and do the
following:

 Monitor setting

 Monitor maintenance

 Monitor information

 Default configuration

 Drug calculation

 Demonstration function

Setup menu

28
 Manual for multi-parameter monitor

Monitor setting

Select the Monitor Settings option in the system menu, and the following menu appears:

Monitor setting
In the Monitor Settings menu, users can set up the following items:
 Working interface selection
The monitor has four working interfaces. They are standard interfaces, trend coexistence interfaces,
oxyCRG interfaces, and large font interfaces. According to different needs, users can choose different
working interfaces and get different screen information.
 Alarm recording time
Select “alarm recording time” on the “monitor setup menu” and turn the encoder to record the output
time when setting alarm. The options are 8 seconds, 16 seconds and 32 seconds.
 Alarm pause time
On the monitor setup menu, select alarm pause time and turn the encoder to set the short stop
time of the alarm. No alarm will be processed during this period. Select alarm to suspend for 1
minute, 2 minutes, 3 minutes.
 Parameter alarm form
Select "parameter alarm form" in "Monitor setup" menu, turn encoder to set alarm bolt lock, not
bolt lock.
 Alarm volume
Select Alarm Volume from the Monitor Settings menu, and turn the encoder to set the size of the
alarm volume. There are four levels of optional ' 0 ' , ' 1 ' , ' 2 ' , ' 3 ' , and ' 4 ' .The "0" is turned off for
all volume. The higher the number, the higher the volume.

29
 Manual for multi-parameter monitor

Warning：
 When the alarm volume of the system is turned off (selected "0"), the monitor cannot
give an alarm if an alarm occurs. Therefore, the operator should use this function carefully.
 If in mute or alarm pause state, select alarm volume to turn off, then the system will
automatically end mute state or alarm pause state.

Warning ： The "1 to 4" status in "alarm volume" is still valid for the next boot.
Operators should carefully check the function before use to avoid delays in patients' treatment
due to low alarm sounds. Select the volume in "0" state, and the next time you turn it on,
automatically return to "2".
 Keyboard volume
From the Monitor Settings menu, select Keyboard Volume to turn the encoder to set the alarm
volume. The options are low, medium and high.
 System time setting
In Monitor Settings, select the system time Settings item and pop up the menu as shown in
the figure:

Warning： System time settings should be selected at boot time (if the user needs to set up)

Otherwise, incorrect time information may be provided when reviewing content with time hints, etc.

 Record output setting

If the monitor installed has a recorder function, check that the recorder outlet on the right side
of the monitor has paper.
 Event setting
(This guardianship does not provide this function)

30
 Manual for multi-parameter monitor

Monitor maintenance

In the system menu, select the monitor maintenance item and pop up the enter maintenance
password dialog box. Users can enter the user password in the user maintenance menu for user
maintenance Users cannot perform factory maintenance functions, this is only open to the company's
designated maintenance staff.
 Input maintenance password
In the enter maintenance password menu, enter the correct user password (105), and press the "OK"
button, pop-up "user maintenance" menu, you can set the picture information.

User maintenance
 Language selection: The user can set the text displayed on the screen as“ CHINESE” 、
“ENGLISH”. Specific options are determined by the user's configuration.
 Lead naming style：Choose“ AHA” o“
r EURO”.The differences between the two styles
are described in the Relevant content of “ECG / respiratory monitoring”.
 Color customization： Used to define the display colors of waveforms and parameters
on the screen, as shown in the figure.

Color customization

31
 Manual for multi-parameter monitor

Monitor information

In the system menu, you can select Monitor Information to view monitor information.
Select Monitor configuration to view the configuration of this machine, as shown in the figure.

Monitor configuration

Default configuration

In the menu, the user can set the current system configuration to the user default configuration,
At this point, the system automatically saves the settings of the current parameter menu, such as ECG
lead, gain and filter, as the default configuration of the corresponding type of user based on the patient
type, and pops up the dialog box shown in the following figure:

Default configuration menu

 Select Yes to save all configurations for the current patient type as user default.
 Choose No, discard the current operation, and the system remains the same as the
original configuration.

32
 Manual for multi-parameter monitor

Warning：Exit after either item is selected from the default configuration menu, and
the confirm default configuration dialog box pops up. The user can choose Yes to determine the
choice, or No to give up the option.

Warning：At this point, all configurations in the system will be replaced by default
configuration.

Demonstration function

On the system menu, select the “demo features” and pop up the enter demo password dialog box.
After entering the correct password（ 101 ）. The system enters the demonstration waveform state.
The presentation waveform is the simulation presentation waveform set by the manufacturer to show
the performance of the machine and assist the user in training. In actual clinical use, the function of
demonstrating waveform may be disabled because it may make the medical staff think it is the
waveform and parameters of monitored patient, which will affect patient monitoring and delay the
diagnosis and treatment of the disease. Therefore, this menu has a password, as shown in the figure.

Demonstration function

Return to the desktop

No support for the time being.

33
 Manual for multi-parameter monitor

Chapter 7 Patient safety

The system has floating input anti-defibrillation and surgical knife protection. If the correct electrode (see
ECG and respiratory section) and according to manufacturer's guidance, the screen display can be restored
within 10 seconds after defibrillation.

Warning：During defibrillation, do not touch patients, beds or instruments.

 Environment：

Follow the following instructions to ensure the absolute safety of electrical installations. The
monitoring system should be properly protected from vibration, dust, corrosive or explosive gases,
extreme temperatures, humidity, etc. When installed in the cabinet, there should be enough space in
front to facilitate operation. In the case of cabinet doors open, there should be enough space in the
back to facilitate maintenance. The circulation of air in the cabinet should be guaranteed.
The monitoring system can meet the technical requirements when the ambient temperature is
below 5 ℃ and 40 ℃.Ambient temperatures beyond this range may affect the accuracy of the
instrument and cause damage to components and circuits. At least 2 inches (5 cm) of space should be
set aside around the instrument to ensure air circulation.

Power requirement
Please refer to the section on product specifications.

Grounding of Monitor
In order to protect patients and medical personnel, the casing of the monitor must be grounded.
So the monitor is equipped with a detachable three-wire cable. When inserted into a matching three-
wire socket, the instrument is grounded through the ground wire in the power line. If there is no
three-wire socket, consult the hospital's electrical administrator.

Warning ： Do not connect the three-wire cable of this instrument to the 2-wire
plug.
Connect the ground wire to the equipotential grounding terminal of the instrument. If it is not
clear from that instrument specification a particular instrument combination is dangerous. For
example, as a result of the accumulation of leakage current, the user shall consult the relevant
manufacturer or other expert in this regard to ensure that the necessary safety of all of these
instruments is not damaged by the recommended combination.

34
 Manual for multiparameter monitor
Equipotential grounding
The primary protection of the instrument has been grounded by the power plug method included
in the protective grounding system of the house. For the internal examination of the heart or brain, the
monitoring system must be separately connected to the equipotential grounding system. One end of
the equal-potential grounding wire (potential-balanced wire) is connected to the equipotential
grounding terminal on the back panel of the instrument, and the other end is connected to a joint of the
equipotential system. If the protective grounding system is damaged, the equipotential grounding
system can take on the safety function of the grounding wire protection. Heart (or brain)
examination should be performed only in a medical home equipped with a protective grounding
system. Check that the instrument is in good working condition before each use. Cables connecting
patients and instruments must be free from electrolyte contamination.

Warning ： If the protective grounding system is unstable, the monitor should use an
internal power supply.

Condensation
To ensure that the instrument is not condensed during work, condensation can occur when the
instrument moves from room to room. This is because the instrument is exposed to moist air and different
temperatures.

Warning： If used in places where flammable anesthetics are available, there is a

risk of explosion.

Interpretation of symbols used on monitors

Be careful, see accessory information.

It shows that the application part is CF type, F type isolation (floating)

application part, and has defibrillation function.
It shows that the application part belongs to BF type, has F type isolation
(floating) application part, and has defibrillation function.

It shows that the application part belongs to BF type and has F type isolation (floating)
Turn on the machine and turn off the machine 。

Equipotential grounding end.

35
 Manual for multiparameter monitor

Chapter 8 Alarm

 This chapter introduces the general information about the alarm and the measures to be
taken when the alarm occurs.
 You can get alarm and prompt information about each parameter in the section about the
setting of each parameter.

Summary
The alarm refers to the indication made by the monitor to the user when the patient being
monitored has a change of vital signs sufficient to arouse the attention of the user or when the
monitoring of the patient cannot proceed smoothly due to the malfunction of the machine itself.

Alarm attribute
Alarm type

The alarm is divided into two categories: If the alarm originates from the change of the patient's
vital signs, that is, the physiological parameters of the monitored patient exceed a specific range or
the patient has physiological abnormalities which cannot be measured by a single physiological
parameter, it is called physiological alarm； If the alarm originates from the machine itself, that is,
the alarm that can not be accurately carried out when the patient is monitored because of the technical
obstacle in the use of the monitor or the failure of the machine itself, it is called the technical alarm.
Examples of physiological and technical alarms
Patient or machine condition Type of alarm
generated
The heart rate of the patient was 94 BPM, which exceeded the Physiological
alarm range set by the user. 。 alarm
Ventricular fibrillation was found in the patient Physiological
alarm
ECG measurement module finds ECG lead shedding Technical alarm
Failure of SPO2 Measurement Module Technical alarm

Physiological alarm classification

Physiological alarm can be divided into two situations. First, the physiological parameters of the
monitored patients exceed a specific range. The other one is physiological abnormalities that

36
 Manual for multiparameter monitor
can not be measured by a single physiological parameter.
The latter can temporarily block the former alarm, specifically the following: ECG
signal is too weak;
No pulse was found.
RESP Interference;
RESP Respiratory asphyxia；
Others belong to the former.

Alarm level

Every kind of alarm, whether it is a technical alarm or a physiological alarm, has a level
characteristic, the higher the level, when the alarm occurs, the system will alert the alarm in a more
vigilant way. All technical alert level users cannot change. Some physiological alarm levels can be
set by the user, while others are specified by the system and not allowed to change

Removable acousto-optic

Removable acousto-optic refers to some technical alarm. If a pause is made, either during the
pause or return to the normal alarm state, it is changed to the prompt mode for the prompt message, as
follows:
1. The ability to drive acousto-optic alarm is cleared, that is, no acousto-optic alarm is
carried out.
2. The ability to drive text is removed, that is, the color of the background will be the
same as the background of the title.
3. After returning to normal alarm state, alert the alarm according to normal alarm
when it is triggered again.
This kind of technical alarm is mainly caused due to errors and normal use of recorders
except the lead shedding and the alarm limit of NIBP parameters.

Completely cleared

Can be completely cleared: refers to the "mute" key when the pause state. The alarm will be
cleared, that is, no more alarm warning. This alarm is not performed in a pause state ； After the
pause is over, the alarm will not be alerted unless it is re-triggered. The main technical alarm errors
are module communication errors and module initialization errors.

37
 Manual for multiparameter monitor
Alarm prompt form
When alarm occurs, acousto-optic and text prompts will be carried out.

Acoustooptic characteristics

Different levels of alarm sound and lighting characteristics

Alarm
Alarm sound characteristic Alarm lighting
level
characteristics

High The mode is "Du-du-du -----du-du, Do-du-du ----- du-du", The alarm lamp
which sounds every 9 seconds (the interval count is from the flashes in red and flashes
beginning of this sound to the beginning of the next sound) quickly

Medium The mode is "du-du-du", sounding every 25 seconds (the The alarm light
interval count is from the beginning of this sound to the flashes in yellow and
beginning of the next sound) flashes slowly

Low The mode is "du", sounding every 25 seconds (the interval The alarm light is
count is from the beginning of this sound to the beginning of bright yellow
the next sound)

Character characteristics

Background: High alarm background is red, intermediate alarm and low alarm background is yellow.
String color: except NIBP technology alarm warning area, regardless of alarm level, has always
been black. The string color displayed by the NIBP alarm prompt is related to the alarm level. High-
level alarm displays red, intermediate and low-level alarm display yellow. When the measured
parameters exceed the set alarm limit to induce physiological alarm, the trigger alarm parameters
flicker. The "***" symbol in the monitor information area on the upper right side of the screen
indicates an advanced alarm level. The symbol "**" indicates the occurrence of an intermediate alarm
level. The "*" symbol indicates a low-level alert level

Else

When different levels of alarm are generated at the same time, sound and light prompt will be
prompted according to the highest level in the current alarm.

38
 Manual for multiparameter monitor
Alarm state
Summary

For each alarm, there are two states: trigger state and clear state. Each moment can only be in one
state.
At the start of the operation, all possible alarms are cleared and triggered in the following
time: when the alarm exists.
Clear status: A state in which the alarm does not exist.
When the alarm condition is satisfied, the alarm enters the trigger state, and any inherent delay
time for determining the alarm state is within 10s.
For the whole alarm system, (For all alarms), there are the following states:
 Normal state: A state in which an alarm is capable of all prompts (including sound, light,
and text) in the triggered state.
 Alarm pause: A state in which the alarm is triggered but no acousto-optic text prompts are
made for the time being.
 Alarm mute: The state in which the alarm is triggered, illuminated, written but not sound
prompted.
 Alarm sound off: A state in which the alarm volume is 0.
 At each moment, the entire alarm system can only be in one state.

Alarm silent state

Alarm mute means that any sound prompt (including alarm, keystroke, heartbeat, pulse, etc.) of
the monitor is turned off.
If you press the "Silence" button on the control panel, you can turn off all sounds. When the
"Silence" button is pressed again, it exits the mute state and switches to the "alarm pause" state, and
suspend the alarm for a while at the default pause time; When pressed the third time, it exits the alarm
pause state and reactivates the corresponding alarm sound to return to normal alarm state. When the
system is in "Silence" state, any newly triggered alarm can be released from the "mute" state, making
the system return to the normal acousto-optic alarm state.

Alarm sound off state

Alarm silence means that the sound will not be turned off but the alarm sound is turned off.

Alarm pause state

Click the "Pause" button on the control panel, you can turn off all alarm sounds and lights and
physiological alarm description information ， and Put the system into "alarm pause" state. Alarm

39
 Manual for multiparameter monitor
pause time countdown is displayed in the physiological alarm area, and in this prompt area, there is

a sign " " display.

There are three options available for alarm pause times for 1 minute, 2 minutes, and 3 minutes,
respectively. The user must go to the “Monitor Settings menu” in the Settings menu and select in alarm
pause time.
When you press the button "Pause" again, the system can return to normal. In addition, the newly
triggered technical alarm can also be released from the "pause" state. Returns the system to its

normal state, and the symbol “ ” disappears.

 When the alarm is suspended, do the following:

 Prohibit all alarm sound and light warning.

 Prohibit all physiological alarm text prompts.

 For clear acousto-optic alarm, change the alarm prompt to prompt information

 For the alarm that can be completely cleared, clear the alarm prompt.

Status Switching

 Press the "SILENCE" button to enter the alarm mute state, and press the
"SILENCE" button again to return to normal state.
 Pause time, if there is a new technology alarm, will end alarm pause state, into
normal state.
 Pause time, if there is a new physiological alarm, the system is still in alarm pause
state.
In any state:
 In the monitor setting, set the alarm sound switch to turn off, enter the alarm sound off
state.
 In the monitor setting, set the alarm sound switch to open, into the normal state.

Alarm mode
Summary

There are two kinds of alarm modes: bolt-lock mode and Non-bolt lock mode.
Bolt-lock mode： When the alarm condition does not exist, the characteristic that the system still
carries out the alarm is called bolt lock mode. Only after the alarm system has been reset can
40
 Manual for multiparameter monitor
no longer be prompted that the alarm does not exist.
Non-bolt lock mode： When the alarm condition does not exist, the alarm stop which is called bolt
lock mode.

Scope of application

All physiological alarms can work in locking mode.

All technical alarms can only work in non-locking mode.

Warning after locking

When an alarm is locked (This alarm has occurred but the alarm is not triggered by the alarm),
the following changes will occur in the warning mode associated with the alarm：
1. The measurement parameters and the related alarm limits are no longer flickering.
2. The last system time to enter the trigger state after the alarm description prompt entry.

Removal of locking mode

Lock clearance is also called alarm reset. Users can use alarm pause function to reset the alarm.
When the lock alarm is cleared, the alarm that has occurred before but which is still alerting under the
condition that the alarm condition no longer exists will be cleared.
When working in non-lock alarm mode, the alarm pause key on the keyboard module has only
the function of pause alarm and no reset function.

Alarm setting
You can set each alarm parameter value in the alarm Settings menu.
In the alarm Settings menu, you can see the alarm settings for each parameter module.

Alarm setting

41
 Manual for multiparameter monitor

Sound switch setting

See the monitor settings in the setup menu for a description of the alarm sound switch.

Automatic alarm shutdown

Alarm shutdown refers to the failure of the whole alarm function. Even if the alarm condition is
satisfied, the system does not do any alarm warning, alarm printing, nor alarm storage. When a new
measurement module is added or the measurement module is just starting to work, all alerts
associated with the module are automatically turned off within 30 seconds after the module starts
working. Other alerts are not affected.

Parameter alarm

Warning ：Do not set alarm limits beyond the limit, which can cause alarm
system failure.
In each parameter menu, the alarm parameters can be set independently, and the user can set the
alarm limit and alarm state.
When a parameter alarm is turned off, display a " " prompt next to the parameter display
area. For setting the alarm parameters, when a certain or a few parameters exceed the alarm
limit,
the monitor automatically alerts the following processes:
1) A prompt appears on the screen, as described in the alarm mode;
2) If the alarm volume is set, the alarm sound is generated according to the set alarm level
and the alarm volume;

42
 Manual for multiparameter monitor
3) Alarm lights flashing (If the machine has alarm lights).

Measures to be taken when alarm occurs

Warning ： When a particular alarm occurs, the patient's condition should be

checked first.
The alarm information is displayed in the system information area or the system alarm
information area. It is necessary to identify the alarm and take appropriate measures according to the
cause of the alarm.
1) Check the patient's condition.
2) Identify which parameter is alarming or which alarm is occurring.
3) Identify the cause of the alarm.
4) If necessary, Alarm mute.
5) When the alarm status is lifted, check to see if the alarm is eliminated.
Alarm information and prompt information about parameters can be found in each parameter
monitoring section.
Sound pressure range of auditory alarm signal: 40dB-85dB (A).
After the interruption of power supply, as long as the power supply is restored, the
alarm setting remains unchanged.
Alarm settings need to enter the password to enter the modified interface.
Alarm can be turned off, into inactive state.
Alarm signal inactive termination: enter alarm setup interface, cancel closure.

Chapter 9 ECG/RESP

Electrocardiogram monitoring
Definition of ECG monitoring

ECG monitoring generates continuous waveforms of patient's ECG activity to accurately assess
the patient's physiological state at the time. Therefore, the normal connection of ECG cable should be
ensured so that the correct measurement value can be obtained. The monitor displays two cardiac
waves at the same time in normal working condition.
■ Monitoring parameters included heart rate (HR), St segment measurements and
arrhythmia (selection).
■ All the above parameters can be used as alarm parameters.

43
 Manual for multiparameter monitor

Considerations for ECG monitoring

Warning：
 Do not touch patients, tables or instruments during defibrillation.
 The ECG cable provided by our company must be used for ECG signal monitoring using
the monitor.
 When connecting electrodes or patient cables, make sure you are absolutely free of any
other conductive parts or contact with the ground. In particular, be sure that all ECG
electrodes, including neutral electrodes, are attached to the patient to prevent them from
contacting the conductive parts or the ground.
 Use of non-resistive ECG cable, not used in the monitor for defibrillation; In other monitors,
the monitor cannot be used for defibrillation if it does not have a defibrillation current
limiting resistor on its own.
 Interference from ungrounded instruments near the patient and ESU interference may
cause waveform problems.
 It is recommended that electrocardiographic / respiratory equipment not be used near
electrocardiogram / respiratory measurements.

ECG monitoring operation method

Prepare

1) Prepare the patient's skin before placing the electrode.

● The skin is a bad conductor, so to get good contact between the electrodes and the skin, the
patient's skin is prepared to be important.
● When necessary, shave off body hair at electrode placement.
● Wash skin thoroughly with soap and water. (Do not use ether and pure alcohol because it
increases the impedance of skin.
● Dry the skin to increase the capillary blood flow in the tissue and remove skin debris and
grease.
2) Install a spring clamp or knob before the electrode is placed.
3) Place conductive paste on patients before placing electrodes that do not contain conductive paste.
4) Connect the electrode lead to the patient's cable.
5) Confirm the power supply of the monitor.

Warning：

 The electrode should be carefully attached and the contact is confirmed.

44
 Manual for multiparameter monitor
 Check whether the ECG electrode patch stimulate the skin every day. If there are
any signs of allergy, change the electrode or change the position every 24 hours.
 It is necessary to check whether the lead is normal before starting the monitoring.
When the ECG cable is unplugged, the screen displays an error message of "sensor
shedding" and triggers a sound alarm.

Warning ： to protect the environment from infection, used electrodes must be

recovered or properly treated.

Installation of ECG lead

The position of ECG monitoring electrode in five leads

The electrode of the five-lead device is arranged as shown below.
■ RA white (right arm) electrode is placed under the clavicle near the right shoulder.
■ La black (left arm) electrodes are placed under the clavicle, close to the left shoulder. Place it
on the chest wall as shown below.
■ RL green (right leg) electrode is placed in the right lower abdomen.
■ LL red (left leg) electrode one placed in the left lower abdomen.
■ V-brown electrodes are placed on the chest wall.

Warning：
The lead names in European and American standards are listed in the table below. (In European
standards, use of R、L、N、F、C for each lead in the American standard for RA、LA、RL、LL
、V)
America Europe

Lead name Colour Lead name Colour

RA white R red

LA black L yellow

LL red F green

RL green N black

V brown C white

45
 Manual for multiparameter monitor

5-lead electrode placement

Warning ： To ensure patient safety, all leads must be connected to the

patient.
■ For the five-lead configuration, place the chest v-lead electrode in one of the following
positions, as shown in figure 9-2:
■ V1 was located in the fourth intercostal region of the right sternum.
■ V2 was located in the fourth intercostal region of the left sternum.
■ V3 is in the middle of V2 and V4.
■ V4 is in the fifth intercostal area of the left middle line of the clavicle.
■ V5 in the front line of left axillary, horizontal position is the same as V4.
■ V6 in left axillary midline, horizontal position is the same as V4.
■ V3R-V7R is located on the right side of the chest wall, corresponding to the left side.
■ VE is located in the bulge of the xiphoid process, "V" will lead to "V" placed electrodes on
one of the following locations.
■ V7 is on the fifth rib of the posterior left axillary line.
■ V7R was at the 5th intercostal of the right posterior axillary line on the abaxial surface.

46
 Manual for multiparameter monitor

Placement of chest conductive pole in lead 5

Location of ECG monitoring electrode at 12 lead
The electrodes of the 12-lead device are arranged as shown in the diagram.
Lead label Color Lead label Color
Position
(IEC) (IEC) (AHA) (AHA)

R Red RA White Right shoulder subclavian

L Yellow LA Black Left shoulder subclavian

N Black RL Green Right lower quadrant

F Green LL Red Left lower quadrant

C1 Red V1 Red Right sternum fourth intercostal

C2 Yellow V2 Yellow Left sternum fourth intercostal

The midpoint of the line between V2

C3 Green V3 Green
and V4
Left middle line of clavicle 5th
C4 Brown V4 Blue
intercostal

C5 Black V5 Orange Left axillary front parallel to V4

C6 Purple V6 Purple Left axillary midline parallel to V4

47
 Manual for multiparameter monitor

10 lead electrode placement

Warning：
 To ensure patient safety, all leads must be connected to the patient.
 The ECG leads recommended by surgical patients to connect to a good signal:
 Tall and narrow without a notch.
 The R wave is tall and completely above or below the baseline.
 The pacing signal is no greater than the height of the R wave.
 T wave is less than 1/3 height of R wave.
 P wave should be much smaller than T wave.

T
P

Q S

Standard ECG waveform

In order to obtain 1 millivolt of calibrated ECG waves, ECG calibration should be performed,
and the screen indicates, "the patient cannot be monitored during calibration."
After a steady time of 20s, the error between the heart rate and the input heart rate of the ECG wave
shown in figure 2 is not more than ±2.

48
 Manual for multiparameter monitor

Warning：
If the electrode is stuck correctly and the ECG waveform is inaccurate, replace the lead.
Interference from ungrounded instruments near the patient and ESU interference may cause
waveform problems.

ECG menu
 ECG Setup menu
Turn the encoder, move the cursor on the main screen to the parameter area "ECG",
then press the encoder to confirm, and pop up the ECG settings menu, as shown in the figure:

ECG setting menu

 ECG set up
● Heart rate alarm: select "on" to alert and store heart rate alarm, select "off" to not alarm,

and prompt“ ” next to ECG in screen parameter area.

● Alarm level: Optional "high", "medium", "low" three values, "high" means the most
serious alarm.
● Heart rate source
Heart rate can be detected by ECG or SpO2. To select "automatic", the monitor determines the
source of heart rate according to the signal quality. If you select simultaneous, the monitor displays
both heart rate and pulse rate. If provided by SPO2, prompt pulse-rate sound.
When the heart rate source is selected SPO2, the alarm judgment of heart rate is not carried
49
 Manual for multiparameter monitor
out, but the pulse rate is judged.
● Computing channel
“Channel” 1 represents the heart rate calculated from the waveform data of the first ECG
wave.
“Channel 2” represents the heart rate calculated from the waveform data of the second ECG
wave.
“Automatic” represents the automatic selection by the monitor of the channel for calculating the
heart rate.
● Channel 1: optional lead Ⅰ，Ⅱ，Ⅲ，aVR，aVL，aVF，V 。
● Channel 2: optional leadⅠ，Ⅱ，Ⅲ，aVR，aVL，aVF，V 。
● Filter mode
When the heart rate increases from 80bpm to 100bpm or decreases from 80bpm to 40bpm, the device
indicates that the maximum response time of the new heart rate is not longer than 10s.
Follow two types of ventricular tachycardia waves following 80bpm's normal heart rate and set
the alarm upper limit to 100bpm or the nearest value. The lower limit of the alarm is 60bpm or the
nearest value. Alarm time is not longer than 10s.When the amplitude of these waveforms is half or
twice the indicated amplitude, the device indicates that the maximum response time for the new heart
rate is not longer than 10 S.

Warning： Only when the diagnosis is done, can the system provide the real signal
that has not been processed. In the filtering mode of "monitoring" and "operation", ECG
waveforms are distorted to varying degrees. At this time, the system can only provide the basic
state of ECG, which will have a great influence on the results of St segment analysis. The results
of ARR analysis may also have a partial effect on the operation mode. Therefore, it is suggested
that the diagnosis mode should be used as far as possible in patients' monitoring.
A cleaner or more accurate waveform can be obtained by filtering.
Three filtering methods can be chosen. The unfiltered ECG wave is displayed in the
diagnostic mode, and the false difference may lead to false alarm is filtered out by the monitoring
mode.
● Gain

Warning：When the input signal is too large, the peak may be truncated. At this time,
users can manually change the gain file of ECG waveform according to the actual waveform to
avoid incomplete waveform display.
You can choose to calculate the gain of each channel, Gain has × 0.25 ×0.5、×1、×2 、
Auto optional. A 1 millivolt scale is given on the left side of each cardiac wave shape. The height
of a 1 millivolt scale is proportional to the amplitude of the wave.

50
 Manual for multiparameter monitor
● Lead type: The 5 lead or 3 lead can be selected
● Waveform speed: ECG scan speed is available at 12.525. 0 and 50.0mm/s options.
● St segment analysis: St segment can be analyzed and related parameters can be set.
● Analysis of arrhythmias: analysis of arrhythmias and the setting of related parameters
● Other settings
Select to enter the ECG Settings menu, as shown in the figure:

ECG setting menu

There are the following features in this submenu:
 ECG monitoring type: select normal display can display 2 ECG waveforms in 5 leads. Select
full-screen multi-lead display and 7 ECG waveforms can be displayed in the screen waveform area.
 Heartbeat volume: you can choose the volume level:0、1、2、3、4.
 Pacing analysis: marking of pacing signals
 Power frequency suppression: suppression of network electrical interference.
 ECG calibration: select this ECG waveform to automatically calibrate.
 Default configuration: select this entry into the default configuration dialog box of ECG.
You can choose the default configuration of the system.

ECG alarm information and prompt information

Warning message
The alarm that may occur in ECG measurement can be divided into physiological alarm and
technical alarm. At the same time, the process of ECG measurement may also produce various kinds
of warning information. When these alerts or cues occur, the visual and auditory representations of
the monitor are described in the alarm function section. On the display screen, the physiological
alarm and general warning information (general alarm) are displayed in the alarm area of the monitor,
while the technical alarm and the warning information that cannot trigger the alarm are displayed in
the information area of the monitor. When the alarm record switch in the relative menu is turned on,
the physiological alarm caused by the parameter exceeding the alarm limit may trigger the recorder to
automatically output the alarm parameter value and the relevant measurement waveform.

51
 Manual for multiparameter monitor
The following classification list describes the various alarms that may be generated by
the measuring section
Physiological alarm:

Prompt Cause Alarm Level

information

ECG is too weak. The patient's ECG signal was not detected Higt

HR is too high HR measurement value is higher than the set User optional
alarm high limit

HR is too low HR measurement value is lower than the set User optional
alarm high limit

Technical alarm:

Prompt message Cause Alarm level Counterp

lan

ECG lead
shedding

ECG LL Lead
shedding or ECG F
Lead shedding Electrocardiogram
Make sure the electrodes,
(ECG) electrode shedding
low leads and cables are all
ECG LA lead from patient or ECG cable
connected properly.
shedding or ECG L from monitor
shedding lead

ECG RA lead
shedding or ECG R
lead shedding

ECG module ECG failure of High Ditto

communication stop measurement module or
communication

ECG module Accidental High If the fault persists, the

communication error communication failure processing method is the same
above.

52
 Manual for multiparameter monitor

HR Alarm error Functional safety error High Stop using HR alarm

limitation function and notify biomedical
engineer or our maintenance
staff.

ECG interference The measurement signal Low Be sure to keep the patient
is too large of ECG is greatly affected by quiet, reliable electrode
interference. connection and good grounding
of AC power supply system.

Prompt information (Including general alarm messages) ：

Prompt Cause Alarm level

message

HR HR measurements exceed the High

measurement range of measurement
superbound

Respiratory measurement
How is breathing measured?
The monitor measures the respiration from the chest impedance of the two electrodes, and the
impedance changes between the two electrodes (due to chest movement)
A breath wave is generated on the screen.
Setting of respiratory monitoring
Monitoring breathing does not require additional electrodes, but the placement of electrodes is
important. Some patients, due to their clinical conditions, have a lateral expansion of the chest
resulting in negative thoracic pressure. In this case, it is better to place the two breathing electrodes
in the region with the greatest activity of the right axillary midline and the left chest to obtain the best
breathing wave.

Warning ： Respiratory monitoring is not suitable for patients with high levels of
activity, as this can lead to false alarms.
RESP Guardianship inspection：
1） Prepare the patient's skin before placing the electrode.
2） Install the electrode with a spring clip or knob and place the electrode on the patient in the
manner described below.

53
 Manual for multiparameter monitor

Electronic placement (5 leads)

Electronic placement (12 leads)

Warning ： White and red electrodes are placed diagonally to obtain optimal
breathing waves. Keeping the liver and ventricle on the line of the respiratory electrode should
be avoided so as to avoid false variations in cardiac overlay or pulsating blood flow.
RESP Setup menu
Turn the encoder, move the cursor to the "RESP" in the parameter area of the main screen, then
press the encoder to enter the "RESP Settings" menu, as shown in the figure.

RESP setup menu

54
 Manual for multiparameter monitor

RESP Alarm setting

■ Select "ON" to alert and store heart rate alarm, select "off" to not alarm, and prompt

“ ” next to ECG in screen parameter area.

■ Alarm level：optional "high", "medium", "low" three values, "high" for the most serious
alarm.
The range of adjustments to the upper and lower limits of the alert is as follows:

Max upper limit Min lower limit Single regulation quantity

RR Children 130 6 1

RR Adult 100 6 1

■ Suffocation alarm：setting the time to judge the patient's asphyxia，between 10 seconds

and 40 seconds, each turn of the encoder plus / minus 5 seconds, the user can also choose not to alarm.
■ Waveform velocity：the optional breathing velocity is 6.25 mm / s, 10.5mm / s, 25.0mm
/s.
■ Breathing gain: the user can set up the RESP waveform amplification display, the
magnification option is 0.25，0.5，2,4.
■ Default configuration: Select this item to enter the RESP default configuration dialog box.
Tip: will use the default configuration! The original configuration will be overwritten! Users can
choose Yes or No.

RESP alarm and prompt information

When the alarm record switch of the relevant item is opened, the physiological alarm which is caused
by the parameter beyond the alarm limit triggers the recorder's automatic output alarm parameter value and
the related measurement waveform.
The physiological alarm, technical alarm and warning information that may occur in the RESP
measurement are listed in the following table:
Physiological alarm：

Prompt Cause Alarm level

message

RR is too The RESP measurement value is User optional

high higher than the set alarm high limit.

RR is too The RESP measurement value is User optional

55
 Manual for multiparameter monitor
low lower than the set alarm limit.

RESP Breathing cannot be measured at High

Respiratory specified intervals
asphyxia

Technical alarm：

Prompt Cause Alarm Counterplan

message level

RESP Functional High Stop using RESP alarm

Alarm error safety failure function and notify biomedical
limitation engineer or our maintenance staff.

Prompt information (including general alarm information) ：

Prompt Cause Alarm level

message

RR RR measurement is beyond the High

Measurement range of measurement
superbound

Chapter 10 Degree of blood oxygen saturation

（SPO2）

Monitoring of blood oxygen saturation

 SPO2 Definition of guardianship 
The SPO2 plethysmogram parameter measures arterial oxygen saturation, which is the
percentage of total oxygenated hemoglobin. For example, if hemoglobin molecules, which account
for 97% of the total number of red blood cells in arterial blood, bind to oxygen, the blood has 97%
SPO2 oxygen saturation. The SPO2 value is read on the monitor is the percentage of oxygenated
hemoglobin molecules that form the 97%. SPO2 plethysmography parameters can also provide

56
 Manual for multiparameter monitor
pulse rate signals and plethysmography waves.
 Measurement principle of SP O2 plethysmography parameters
 Determination of oxygen saturation by pulsating oxygen quantitative method
 This is a continuous, non-invasive method for measuring hemoglobin oxygen
saturation. It measures how much light emitted from one side of the sensor's light source passes
through the patient's tissue, such as fingers or ears, to the other side's receiver.
The measurable wavelength of the sensor is usually 660 nm for the red LED and
940nm for infrared. The maximum optional output power of LED is 4 MW.
 The amount of light passing through depends on a number of factors, most of which are
constant. However, one of these factors, the arterial flow, changes over time because it is
pulsating. By measuring the light absorbed during the pulsation, it is possible to obtain the
arterial blood oxygen saturation. Detecting pulsation itself gives a plethysmogram waveform and
pulse rate signal.
Volumetric parameter measurement
 The SPO2 value and the Sketch Waveform can be displayed on the main screen.
 The SPO2 in this manual refers to the oxygen saturation of the human body measured by
a noninvasive method.

Warning：
 If carboxyhemoglobin, methemoglobin or dye dilute chemicals exist, Sp02 values can be
skewed.
 Don't put the sensor on a limb with an arterial catheter or an intravenous tube.
 Before starting monitoring, check that the sensor cable is normal. When the SPO2 sensor
cable is unplugged from the socket, the screen displays an error message of "sensor
shedding". And trigger sound alarm at the same time. The alarm is automatically released
after the sensor is re-inserted.
 Do not use this SPO2 beholder if the sensor is packaged or if the sensor has signs of
damage. It should be returned to the manufacturer.
 Continuous, prolonged monitoring may increase the risk of unwanted changes in skin
characteristics, such as, abnormal sensitivity, redness, foaming or compressive necrosis.

Warning：
 Do not put the blood oxygen probe on the same limb as the blood pressure cuff, because
the blood flow occlusion during the blood pressure measurement can affect the blood oxygen
saturation reading.
 Make sure your nails cover the light.
 Probe lines should be placed on the back of the hand.
 SPO2 values are always displayed in fixed places.
57
 Manual for multiparameter monitor
 SPO2 waveform is not proportional to pulse volume 。

Operational method of oxygen saturation monitoring

 SPO2 Volumetric measurement
1) Turn on the monitor；
2) Attach the sensor to the proper position of the patient's finger；
3) Insert the connector at one end of the sensor cable into the Sp02 hole.

Adult blood oxygen probe

Warning：
 If the testing site and probe can not be accurately located, it may lead to inaccurate oxygen
saturation readings, or even to search for pulse waves, so that blood oxygen monitoring can not
be carried out, and the location should be relocated at this time.
 Excessive movement of the measuring site may result in inaccurate measurement. The patient
should be quieted or replaced at this time in order to reduce the impact of excessive movement on
the measurement.

Warning：
 During continuous monitoring for a long time, check the peripheral circulation and skin
condition every 2 hours or so. If bad changes are found, the measured position should be changed
in time.
 In the process of continuous monitoring for a long time, the location of the probe should be
checked periodically so as to avoid the influence of the accuracy of the measurement because of
the change of the orientation of the probe caused by the moving of the probe and other factors.

Limit of blood oxygen saturation monitoring

During operation, the following factors can affect the accuracy of oxygen saturation
measurement:
■ High frequency electrical interference, such as interference generated by the host system
itself or from electrical surgical instruments such as systems connected to the system.

58
 Manual for multiparameter monitor
■ Do not use photoelectric oximeter and oxygen sensor during magnetic resonance
imaging (MRI) scan. Inductive currents may lead to burns.
■ Intravenously dyestuff.
■ The patient moved too frequently.
■ External radiation.
■ Improper installation of sensor or improper contact position with object.
■ Sensor temperature (the optimum temperature should be in the range of 28 ℃~ 42 ℃).
■ Place the sensor on a limb with a blood pressure cuff, an arterial catheter, or an
intracavitary conduit.
■ Concentrations of nonfunctional hemoglobin such as COHb and MetHb).
■ Blood oxygen saturation is too low.
■ The circulatory perfusion was poor.
■ Shock, anemia, hypothermia, and the use of vasoconstrictors can reduce arterial blood flow
to unmeasurable levels.
■ Measurements also depend on the absorption of specific wavelengths of light by
oxygenated hemoglobin and reduced hemoglobin. If other substances absorb the same wavelength,
they can lead to false or low SP02 values, such as: carbonated hemoglobin, iron hemoglobin,
methylene blue, rouge indigo.
 It is recommended to use the SpO2 sensor described in the attachment.

Oxygen saturation menu

 Sp02 Setup menu
Turn the rotation button and move the cursor in the display interface to the SP02 hotkey in the
parameter area. Press the rotate button to enter the "SPO2 Settings" menu, as shown in the figure.

SP02 setting menu

Warning：

Setting the upper limit of SPO2 alarm to 100% is equivalent to disconnecting the upper limit
alarm. High oxygen levels can cause preterm infants to develop post-crystalline fibrous tissue
disease. Therefore, the upper limit of blood oxygen saturation must be carefully

59
 Manual for multiparameter monitor
selected according to recognized clinical practice.

 SPO2 Alarm setting

 Alarm switch：select "Open" to alarm and store when SPO2 (blood oxygen saturation) is

alerting. Select "turn" and leave no alarm and prompt“ ”next to the SPO2 in the parameter

area of the screen.

 Alarm level：to set alarm levels, the options are high, medium and low. High represents
the most serious alarm

 Waveform speed: SPO2 volumetric waveform scan speed 12.5 and 25.0mm/s options

 Pulse volume: you can select the volume level 0、1、2、3。

 Calculating sensitivity: select the average time to calculate the SPO2 value. Selecting
"high", "medium" or "low" means taking an average of 4 seconds, 8 seconds, or 14 seconds of
SPO2.

 Default configuration: select this to enter the SPO 2 default configuration dialog box. Tip:
will use the default configuration! The original configuration will be overwritten! Users can
choose Yes or No.

 PR (pulse rate) alarm high and low limit: according to the set high limit and low limit,
when PR beyond the high limit or below the low limit to alarm.

SPO2 and PR Alarm range：

Parameter High limit Low limit Single adjustment

SPO2 100 0 1

PR 250 0 1

Default alarm range for SPO2 and PR under default setting:

Parameter High limit Low limit

Adult 100 90
SPO2
Children 95 80

60
 Manual for multiparameter monitor

Audlt 100 50
PR
Children 140 75

Oxygen saturation alarm message

10.5.1 SPO2 Alarm information

When the alarm record switch in the correlation menu is turned on, the physiological alarm
caused by the parameter exceeding the alarm limit will trigger the recorder to automatically output
the alarm parameter value and the related measurement waveform.
The physiological alarm, technical alarm and warning information that may occur in the
measurement of the SPO 2 module are listed in the following table.
Physiological alarm：

Prompt Cause Alarm level

information

SPO2 too high The SPO2 measurement value is User

higher than the alarm upper limit. optional

SPO2 too low SPO2 measurements are below the User

lower alarm limit. optional

PR too high The PR measurement value is higher User

than the alarm upper limit. optional

PR too low The measurement value of PR is User

lower than the lower limit of alarm optional

Technical alarm：

Prompt Alarm
Cause Countermeasure
information level

The SPO2 Make sure the sensor is

SPO2 sensor sensor shedding placed on the patient's finger
Low
shedding from a patient or a or other area, and that the
monitor monitor is properly

61
 Manual for multiparameter monitor
connected to the cable.

Stop using SPO2 module

SPO2 Module
measurement function, notify
SPO2 module error or
High biomedical engineer or
communication stop communication
customer service department
error
of our company 。

Stop using SPO2 module

measurement function and
SPO2 Alarm error Functional
High notify biomedical engineer
limitation safety failure
or customer service
department.

Stop using SPO2 module

measurement function and
PR Alarm error Functional
High notify biomedical engineer
limitation safety failure
or customer service
department.

Prompt alarm (including general alarm) ：

Prompt
Cause Alarm level
information

SPO2
Measurement Measurement of SpO2 out of range. High
superbound

PR
Measurement Measurement of PR out of range. High
superbound

Search pulse SpO2 module is searching for pulse No alarm

Undetected SpO2 module can't detect SpO2 signal

High
pulse for a long time

62
 Manual for multiparameter monitor

Chapter 11 Temperature（TEMP）
Temperature monitoring instructions
The monitor can use the temperature probe to measure the temperature data.
 Temperature measurement setting
■ If a one-time temperature probe is being used, insert the temperature cable into the socket
and connect the probe to the cable. For reusable temperature probes, you can insert them directly into
the socket.
■ Attach the temperature probe firmly to the patient.
■ Power on the system.

Warning：
 Before starting monitoring, check whether the probe cable is normal. Unplug the
temperature probe cable of channel 1 from the Jack, and the screen will display the error message
"T1 sensor shedding" and make an alarm sound. Other channels are similar.
 Carefully hold the temperature probe and cable, when not used, the probe and cable
should be pulled into a loose ring. If the wire inside is too tight, it will cause mechanical damage.
 Calibration of the thermometer must be performed every two years (or according to the
time indicated in the hospital procedure).

Warning：
 One-time temperature probe can only be used once.
 During the monitoring process, the temperature meter automatically checks itself every
hour. Self-test lasts 2 seconds and will not affect the normal operation of the temperature monitor.

Temperature menu
The user can use the encoder to move the cursor to the parameter area TEMP in the main
screen and press the encoder to enter the TEMP settings menu, as shown in the figure.

TEMP setting menu

63
 Manual for multiparameter monitor

 Alarm switch ： Select "OPEN" to alarm and store when TEMP (body temperature)
alarm, select "OFF" do not alarm, and the screen parameter area next to the TEMP prompted

“ ”.

 Alarm level：for setting alarm levels, options are High, medium, and low.
 The T1 alarm is performed according to the set high - limit and low - limit, when the
temperature exceeds the upper limit or lower than T1 represents the temperature of the channel
 The range of adjustments to the upper and lower limits of the alert is as follows:
Parameter Upper limit Lower limit Single regulation quantity
T1 50 0 0.1
 Unit of temperature: choose degrees Celsius or. F degrees Fahrenheit.
 Default configuration: select this item to enter the TEMP default configuration dialog
box. Tip: will use the default configuration! The original configuration will be overwritten!
Users can choose Yes or No.

Body temperature alarm information and warning

information
When the alarm record switch in the relative menu is turned on, the physiological alarm caused
by the parameter exceeding the alarm limit will trigger the recorder to automatically output the alarm
parameter value and the relevant measurement waveform.
The physiological alarm, technical alarm and warning information that may occur in TEMP
measurements are listed in the table below.
Physiological alarm：

Prompt Cause Alarm level

information

T1，too high The temperature measurement value User

64
 Manual for multiparameter monitor
is higher than the set alarm limit. optional

T1，too low The temperature measurement value is User

lower than the set alarm limit. optional

Technical alarm：

Prompt Cause Alarm countermeasure

information level

TEMP sensor Temperature Ensure reliable

shedding cable shedding from Low cable connections.
monitor

TEMP Alarm Functional Stop using TEMP

error limitation safety failure alarm function and
High notify biomedical
engineer or our
maintenance staff.

Prompt information：

Prompt Cause Alarm level

information

TEMP Temperature measurement is High

Measurement beyond the range of measurement
superbound

65
 Manual for multiparameter monitor

Chapter 12 NIBP
Noninvasive blood pressure monitoring instructions
 Noninvasive blood pressure (NIBP) was measured by oscillatory method；

 Can be used for adults, children；

 Measurement mode: manual, automatic and continuous measurement. Each mode shows
systolic, diastolic and mean pressure.

 Manual mode with only one measurement.

 Automatic mode, measurement repeated. The interval can be set as 1 / 2 / 3 / 4 / 5 /

10 / 10 / 15 / 30 / 60 / 90 / 120 / 180 / 240 / 480 minutes.

 Continuous mode in which measurements are carried out continuously over a

period of five minutes.

Warning：

 Non-invasive blood pressure measurements should not be performed on patients with

sickle cell disease and any skin damage or expected damage.

 For patients with severe clotting disorders, automatic blood pressure measurement should
be determined based on clinical evaluation, as there is a risk of hematoma at the friction between the
limb and the cuff.

 When measuring a child patient, make sure the correct mode settings are selected (see
patient information menu settings). The use of the wrong patient pattern may endanger the patient's
safety because higher adult blood pressure levels do not apply to children.

 The blood pressure measured by this equipment is equivalent to that measured by

auscultation.

Non invasive blood pressure monitoring operation

Noninvasive blood pressure measurement

The inflatable tube connected to the blood pressure sleeve and monitor should be smooth and
untangled.
1. Plug the inflatable tube into the blood pressure cuff interface of the monitor and connect
the power supply to the instrument.
2. Tie the blood pressure cuff on the patient's upper arm or thigh, as shown below

66
 Manual for multiparameter monitor
figure.

Cuff using
◆ Make sure the sleeve band is fully deflated.
Use the appropriate cuff for the patient to ensure that the tissue is just above the right artery.
Make sure the cuff is not too tight, or it may cause discoloration or even ischemia of the distal end of
the limb.

Warning：
The width of the cuff should be 40 parts of the circumference of the limb, or 2 / 3 of the
length of the upper arm. The inflatable part of the cuff should be long enough to encircle the 50 /
80 length of the limb. The wrong size of the sleeve tape will produce the wrong reading.
3. The cuff and the inflatable tube are connected. The limbs used for manometry should be at the
same level as the patient's heart. If this is not possible, the following correction methods should be
used to correct the measurement results：
◆ Check that the edge of the cuff falls within the range marked <->. 如 If not, switch to a
larger or smaller sleeve band.
◆ If the cuff is higher than the heart level, the difference per centimeter should be added to the
display value of 0.75mm HgG （0.10kPa).
◆ If the cuff band is below the heart level, the difference per centimeter should be reduced by
0.75mm HgG （0.10kPa).
4. Verify that the monitoring method is correct (the monitor is displayed in the information
area of the monitor interface, right behind the bed number) ， If you need to change care, go to
patient Information Settings on the system menu and change patient Type.
5. Select the measurement mode in the NIBP menu, as shown in the Action Tip below.
6. Press the "blood pressure" (start) button on the front panel to start the pressure
measurement.
 Operation prompt
1. Carry out an automatic measurement
Enter the NIBP settings menu, check the interval time, and the user can choose the time interval
value to automatically measure. Then press the "blood pressure" button on the front panel and the
system automatically inflates according to the interval.

Warning：
If the automatic noninvasive manometry takes too long, the limb with cuff friction may

67
 Manual for multiparameter monitor
be accompanied by purpura, ischemia, and nerve damage. Always check the color, warmth, and
sensitivity of the distal extremity when monitoring the patient. Once any abnormalities are
observed, place the cuff in another place or immediately stop blood pressure measurements.
2. Stop automatic measurement
Pressing the "blood pressure" button at any time during automatic measurement can
stop automatic measurement.
3. Make a manual measurement
◆ Go to the NIBP Settings menu, select interval, set to Manual, and press the Blood
pressure ammonium button on the front panel to start a manual measurement.
◆ During the free time of automatic measurement, press the Blood pressure button and
a manual measurement will begin. If you press the Blood pressure button again, the manual
measurement will stop and continue with the automatic measurement.
4. Carry out a manual measurement in the course of automatic measurement
Press the Blood pressure button on the control panel.
5. Stop a manual measurement midway
Press the Blood pressure button on the control panel again.
6. Continuous measurement
Go to the NIBP Settings menu, select the continuous Measurement tab, and start continuous
Measurement. This process will last 5 minutes.

Warning：

If the noninvasive manometry time of continuous measurement is too long, the limb with
cuff friction may be accompanied by purpura, ischemia and nerve injury. Always check the
color, warmth, and sensitivity of the distal extremity when monitoring the patient. Once any
abnormalities are observed, place the cuff in another place or immediately stop blood pressure
measurements.
7. Stoppage of continuous measurement
Press the "blood pressure" button on the control panel to stop continuous measurement at any time
during continuous measurement.

Warning：
 If there is doubt about reading accuracy, examine the patient's vital signs in a
possible way before examining the monitor's function.
 If the liquid splashes on the equipment or accessories, especially if the liquid may
enter the pipeline or monitor, contact the hospital maintenance department.

68
 Manual for multiparameter monitor

Limits of measurement
There are certain limits to oscillatory measurements depending on the patient's condition. This
measurement looks for regular pulse waves generated by arterial pressure. When the patient's
condition makes the detection method difficult, the measurement value becomes unreliable and the
pressure measurement time increases. Users should be aware that the following may interfere with
the measurement method, making the pressure measurement unreliable or time prolonged. In this
case, the condition of the patient will render the measurement impossible.
■ Patient movement
If the patient is moving, shaking or spasmodic, the measurements will be unreliable or even
impossible, as these conditions may interfere with the detection of arterial pressure pulsation, and the
blood pressure measurement time will be prolonged.
■ Arhythmia
If the patient shows arrhythmia and causes irregular cardiac beats, the measurement will be unreliable
or impossible, and the manometry time will be prolonged.
■ Heart-lung machine
If the patient is connected with an artificial Heart-lung machine, it will not be measured.
 Pressure variation
If, at a certain time, the arterial pressure pulsation is being analyzed to obtain the measured
value, and the patient's blood pressure changes rapidly, the measurement will be unreliable or
impossible.
 Severe shock
If the patient is in severe shock or hypothermia, the manometry will not be reliable. Because a
decrease in blood flow to the periphery leads to a decrease in arterial pulsation.
 Limiting heart rate
Blood pressure could not be measured when heart rate was lower than 40 bpm (heart beat
/mins) or higher than 240 bpm (heart beat/mins).

Noninvasive blood pressure menu

Turn the encoder, move the cursor to the NIBP hotkey in the parameter area on the screen, and
press the encoder to enter the NIBP Settings menu, as shown in the figure.

69
 Manual for multiparameter monitor

NIBP Setup menu

 NIBP Alarm setting

■ Alarm switch ：select "open" to alarm and store when pressure alarm, select "off" not alarm,

and the screen parameter area NIBP next to the prompt“ ”.

■ Alarm level: High, Medium and Low options. "High" means the most serious alarm.

■ Pressure unit

Optional mmHg or kPa 。

■ Interval

Automatic measurement of interval time (in minutes), It can be selected at 1: 1, 2, 2, 3, 5, 5, 10,

10, 30, 30, 60, 90,100, 180, 240, 480 minutes. After the interval is selected, a prompt will appear in
the NIBP parameter area, "Please press the blood pressure button (start) key." Then press the "blood
pressure" button to start the first automatic measurement of inflation. To end automatic measurement,
select Manual to return to manual mode during measurement intervals.
 Preinflatable value 

Press this key to select the initial pressure value for the next time the cuff is inflated, and for

different default configurations, there are different ranges of preinflatable values, as shown in the

following table:

Default
Manually selected preinflatable values in the NIBP
Default configuration preinflatable value
menu (mmHg/kPa)
(mmHg/kPa)

70
 Manual for multiparameter monitor
Default factory adult 80/90/100/90/100/110/120/130/140/170
160
configuration
180/190/200/210/220/230/240

Default factory children 80/90/100/90/100/110/120/130/140/170

120
configuration
180/190/200

Once the user presses the Menu key on the front shell, enter the Default Configuration menu in
the System Menu After confirming the default configuration, return to the NIBP menu hotkey of the
main interface to select the NIBP parameter area and go to "NIBP Settings." You can see that the
initial value corresponding to the "preinflatable value" is the initial inflatable pressure corresponding
to the selected default configuration, as shown in the table above. Move the cursor to the preinflatable
value option and press to see the range of preinflatable values that can be manually adjusted as shown
in the above table.

Warning：
The "preinflatable value" option is designed to help the user select the next cuff inflatable
pressure, but the preinflatable value for subsequent measurements will be based on the same patient's
previous systolic blood pressure measurement. Systematic memory can shorten the measurement
time and increase the accuracy of measurement in the same patient.
 When the user only sets the "patient type" in "patient Information Settings" and
does not make any choices in the "default configuration", the system will make the initial
setting of the relevant module parameters according to the "Patient Type". And changes to
default type settings in default configuration will also change patient types in patient
Information Settings.
■ Reset
Blood pressure pump measurement state reset.
Press this button to restore the inflation value of the blood pressure pump to its initial setting.
This key is recommended when the blood pressure pump is not working properly but the monitor
cannot indicate the cause of the problem. This allows the blood pressure pump to self-check, thus
automatically recovering when the pump is abnormal due to accidental causes.
■ Continuous measurement
Start a continuous measurement.
After the election, the menu will disappear automatically, and continuous measurement will be
carried out immediately.
■ Calibration

Warning：Calibration of NIBP measurements should be performed every two years

71
 Manual for multiparameter monitor
(or in accordance with hospital maintenance regulations).
Calibration steps for pressure sensors：
Replace cuff with a metal container of 500ml+5%. A calibrated standard pressure gauge with
an error less than 0.8mmHg and a spherical gas pump with T-type interface are connected to the NIBP
Jack of the module. The monitor is set to "calibrate" mode, and the pressure in the metal container is
inflated to 0, 50 and 200 mmHg, respectively, using a spherical air pump. The difference between the
standard pressure gauge and the pressure indicated by the monitor should be within 3 mmHg.
Otherwise, please contact our maintenance engineer.

Monitor
Standard
pressure
Air tube

Metal
Ball valve
containe

NIBP calibration connection diagram

 Gas leak detection
It can be used to detect whether the pump is leaking by NIBP, and the key can be used to start the
NIBP inflating process when it is connected to the NIBP cuff band, and the airtight condition of the
NIBP gas path is found to be good or not. If the air leak test is passed, the system will not be
prompted. If it is not passed , there is a corresponding error prompt in the information area.
Leak detection proces:
1) Connect the sleeve band to the NIBP stomata of the monitor.
2) Wrap the sleeve band around the cylinder of the appropriate size.
3) Go to the NIBP Settings menu.
4) Turn the encoder, move the cursor to "leak detection", and press the encoder. At this
point on the screen below the NIBP parameter area will appear "leak detection." indicating that
the system began to perform leak detection.
5) The system automatically inflates to a pressure of 180 mm Hg.
6) After about 20 seconds, the system automatically opens the valve and marks the leak
72
 Manual for multiparameter monitor
measurement complete.
7) If there is no hint in the NIBP parameter region, there is no air leakage in the system. If
you show "pump leak.", the gas path may have a leak fault. The operator should check if the
connection is loose. After confirming that the connection is correct, the operator should do a new
air leak test. If there is still a fault prompt, please contact the manufacturer for maintenance.

Monitor Cylind

Air tube Cuff

NIBP gas leak detection connection diagram

■ Default configuration: select this entry into the default configuration dialog box of NIBP,
and you can choose the default configuration option of the system.

NIBP alarm and prompt information

In physiological alarm, if the alarm record switch in the related menu is turned on, the alarm
caused by the parameter exceeding the alarm limit may trigger the recorder to automatically output
the parameters of the alarm occurrence time and the correlation measurement waveform. The
physiological alarm, technical alarm and warning information that may occur in NIBP
measurements are listed in the following table:
Physiological alarm:

Prompt Cause Alarm

message level

NS too high The NIBP systolic pressure measurement User

value is higher than the set alarm high limit. optional

NS too low The NIBP systolic pressure measurement User

value is lower than the set alarm high limit. optional

ND too high The measured value of NIBP diastolic User

pressure is higher than the set alarm high limit. optional

73
 Manual for multiparameter monitor

ND too low The measured value of NIBP diastolic User

pressure is lower than the set alarm high limit. optional

NM too high The measured value of NIBP diastolic User

pressure is higher than the set alarm high limit. optional

NM too high The measured value of NIBP diastolic User

pressure is lower than the set alarm high limit. optional

Technical alarm 1 (display in the Information area of the Monitor):

Prompt Cause Alarm

Counterplan
information level

NS Functional High Stop using the NIBP module

alarm limit safety failure alarm function, notify the biomedical
error engineer or our maintenance
personnel.

NM Functional High Stop using the NIBP module

alarm limit safety failure alarm function, notify the biomedical
error engineer or our maintenance
personnel.

ND Function High Stop using the NIBP module

alarm limit safety failure alarm function, notify the biomedical
error engineer or the company's maintenance
personnel.

Technical Alert 2 (display below the NIBP pressure value in the prompt area):

Prompt Alarm
Cause Counterplan
information level

Sensor or other
NIBP Stop using NIBP measurement
hardware errors in
self-checking High function and notify biomedical
NIBP measurement
error engineer or our maintenance staff.
module

NIBP Communication If the failure continues, stop

High
communication failure with NIBP using the NIBP measurement

74
 Manual for multiparameter monitor
error Measurement Module function and notify the biomedical
engineer or our maintenance staff.

Cuff too
The cuff is not
loose or not Low Tie up the cuff.
tied or has no cuff
connected

Check and replace air leakage

Sleeve air Sleeve tape, hose parts.Notify the biomedical engineer or
Low
leakage or joint damaged the company's maintenance staff if
necessary.

No stable Check if the hose is tangled, if

Air pressure value, such the failure continues, notify the
Low
pressure error as tubing biomedical engineer or our
entanglement. maintenance staff.

The signal Loose cuff or Use other methods to measure

Low
is too weak weak pulse blood pressure.

Reset the NIBP measurement

The range of module, if the failure continues, stop
Pressure
measurements using the NIBP measurement
exceeding Low
exceeds the function, notify the biomedical
range
prescribed upper limit engineer or our maintenance
personnel.

Signal noise is
Arm too loud or pulse rate Make sure the patient is quiet
Low
movement is irregular due to arm and motionless.
movement

Remeasure, if the failure

Pressure
continues, stop using the NIBP
Overvoltag exceeding the
High measurement function, notify the
e crowbar prescribed safety
biomedical engineer or the company's
limit
maintenance staff.

Signal
Gross movement Low Don't make the patient exercise.
saturation

75
 Manual for multiparameter monitor

Check and replace air leakage

Pump Leak found in
Low parts and notify biomedical engineer or
leakage leak test
our maintenance staff if necessary.

Stop using NIBP measurement

NIBP System failure of
High function and notify biomedical
System failure blood pressure pump
engineer or our maintenance staff.

The type of cuff

Sleeve
does not match the High Select the right cuff.
tape type error
type of patient.

Measurement
Measurem time exceeding 100 Measure or use other methods of
High
ent overtime seconds (adult / child) pressure measurement again.
or 90 seconds

NIBP Module reset

High Use reset again.
Error reset abnormal

When measuring,
the system cannot Check the cuff to make sure the
Measurem
perform measurement High patient stays motionless and
ent error
analysis or measures it again.
calculation

Tip information (the prompt area below the NIBP pressure value):

Prompt
Cause Alarm level
message

Measure
In the course of manual measurement
manually…

Continuous
measurement Continuous measurement process Alarm free

Automatic
Automatic measurement process
measurement

76
 Manual for multiparameter monitor
…

Please press
Select the measurement interval from the menu
start key

Measurement Press start key to stop measurement during

termination measurement

Calibration … Calibration process

Calibration
The calibration process has been completed
termination

Leak
Gas leak detection is in progress
detection...

Leakage
detection Gas leak detection terminated
termination

The reset process after the NIBP module is

Module reset...
loaded

Manual
NIBP reset (user-triggered) process
Reset . .

Reset failure Reset action failed

77
 Manual for multiparameter monitor

Chapter 13 Maintenance and cleaning of

systems

Warning ： Before cleaning monitor or sensor, remember to turn off the power
and turn off AC power.

Cleaning of monitor

Cleaning of monitor
 Most commonly used hospital cleaning fluids and non-corrosive detergents can be used,
but note that many of them must be diluted before they are used. Follow instructions from the
detergent manufacturer.
 Avoid alcohol, amino or acetone based detergents.
 Monitor case and screen should be kept free from dust and can be cleaned with soft velvet
cloth or sponge soaking with detergent. When cleaning, be careful not to pour liquid onto the
instrument and ensure that no liquid entering inside the instrument. Monitor side panel has all
kinds of cable socket, wiper to be careful to ensure no water.
 Do not use abrasive materials such as wire brushes or metal polishing agents, which can
cause damage to monitor panels and screens.
 Do not soak the monitor in the liquid.
 When the plug of the cable or accessory is occasionally wet, rinse with distilled water or
deionized water and cool it in a 40C~80C environment for at least 1 hour.

78
 Manual for multiparameter monitor
Battery maintenance and maintenance
The monitor is equipped with a rechargeable battery to ensure that the monitor can work continuously
when the AC power is broken, and it is not need special maintenance under normal conditions.
 Lithium-ion battery

At least two full optimization cycles should be guaranteed when the battery is first used. A
complete optimization cycle: uninterrupted charge, then discharge until the monitor shut down.
Battery life should be optimized regularly during battery use. It is recommended that the battery be
optimized for every two months of use or storage, or when the operating time of the battery is
significantly reduced.
When optimizing, refer to the following steps:
 Disconnect the monitor from the patient and stop all monitoring and measurement;
 Put the battery that needs to be optimized into the battery tank of the monitor;
 Connect the monitor to AC power supply and charge the battery continuously for more
than 6 hours.
 Disconnect AC power and use batteries to power the monitor until the monitor is shut
down；
 Reconnect the monitor to the AC power supply and charge the battery continuously for
more than 6 hours;
 The battery is optimized.

Warning ： Do not remove the battery, put it in the fire or short-circuit it. Battery
burning, explosion or leakage can cause personal injury.

Cleaning and disinfection of accessories

 ECG cable
Recommended disinfectants include: glutaraldehyde solution 10% bleach solution.
 Please clean the cable before disinfection.
 Clean the surface of the cable with soft cloth and proper amount of water or neutral
soapy water;
 Use a soft cloth with a proper amount of disinfectant to scrub the cable;
 Wipe the remaining disinfectant on the cable with a soft cloth with clear water;
 Dry the cable in a cool environment.
Warning：
 Do not use high pressure, rays or steam to disinfect cable leads.
 Do not immerse the cable lead wire directly in liquid.
 To avoid long-term damage to the cable, it is recommended to disinfect the product

79
 Manual for multiparameter monitor
only if the hospital regulations you follow deem necessary.
 Do not wash and reuse disposable electrodes.

1. Blood oxygen transducer

Recommended disinfectant: 70% isopropanol solution.10% bleach solution may be used for
disinfection only with lower standards. Do not use undiluted bleach 5. 25% sodium hypochlorite) or
other unrecommended disinfectant solution to avoid damage to the sensor.
Cleaning and disinfection methods can be referred to ECG cable cleaning and disinfection
methods.

Warning：

 Do not use radiation, steam or ethylene oxide to disinfect the sensor.

 Do not immerse the sensor directly in liquid.
 To avoid long-term damage to the sensor, it is recommended to disinfect the product only
if the hospital regulations you follow deem necessary.
2. Body temperature trans
Recommended disinfectant: 70% isopropyl alcohol solution, glutaraldehyde solution, 10% bleach
solution.
Cleaning and disinfection methods can be referred to ECG cable cleaning and disinfection methods.

Warning：

 Repeated disinfection and reuse are not allowed for one-time temperature sensors.
 To avoid long-term damage to the sensor, it is recommended to disinfect the product only
if the hospital regulations you follow deem necessary.
 The temperature sensor can only tolerate a temperature of 80~100 degrees centigrade for
a short time and cannot be heated more than 100 degrees centigrade.
3. Noninvasive blood pressure cuff
 Please carry on the regular cleaning to this product;
 Remove the cuff from the connector and remove the airbag from the outer skin;
 The clean medical soft gauze pad or other soft cleaning tools should be soaked in
clear water or neutral soapy water. After drying the gauze, dry the excess air and wipe the air
bag and catheter;
 Wash cuff skin in clean neutral soap water;
 After washing the skin and air bag fully dry, put the air bag into the sleeve band and it
can be used again.

Warning：

80
 Manual for multiparameter monitor
 Excessive, multiple cleaning of the airbag, may cause damage to the airbag, unless
necessary, please do not clean the airbag.
 Air bags and skins shall not be dried at high temperature.
 For a higher disinfection grade, use a disposable cuff.
 The disposable cuff can only be used for a patient.
 The water and the cleaning solution must not enter the coupling parts of the cuff and
the monitor.
4. Carbon dioxide sensor
 Recommended disinfectant: 70% isopropanol solution, 70% alcohol solution
 Cleaning and disinfection methods can be referred to ECG cable cleaning and
disinfection methods.

Warning：
 Do not sterilize the sensor in a high-pressure container. Do not immerse the sensor
directly in a liquid.
 Do not pull or squeeze the sensor extension line when in use.
 Sensors cannot work below 10 ℃ or above 35 ℃.

81