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Mindray V Series User manual

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Patient Monitors
Operating Instructions
V Series Operating Instructions
Mindray
®
is a registered trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
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®
is a U.S. registered trademark of Oridion Medical Ltd.
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®
is a U.S. registered trademark of Oridion Medical Ltd.
Nellcor
â„¢
is a U.S. trademark of Nellcor Puritan Bennett Inc.
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®
is a U.S. registered trademark of Nellcor Puritan Bennett Inc.
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®
is a U.S. registered trademark of Nellcor Puritan Bennett Inc.
OxiMax
â„¢
is a U.S. trademark of Nellcor Puritan Bennett Inc.
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®
is a U.S. registered trademark of Nellcor Puritan Bennett Inc.
Max-Fast
â„¢
is a trademark of Nellcor Puritan Bennett Inc.
miniMediCO
2
®
is a trademark or registered trademark of Oridion Medical Ltd.
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LNOP® is a U.S. registered trademark of Masimo Corp.
Masimo SET® is a U.S. registered trademark of Masimo Corp.
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Edwards Vigilance
®
is a U.S. registered trademark of Edwards Lifesciences LLC
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®
is a registered trademark of Integra LifeSciences Corporation.
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®
and INVOS
®
are registered trademarks of Covidien.
Copyright © Mindray DS USA, Inc., 2011-2016. All rights reserved. Contents of this publication may not be reproduced in
any form without permission of Mindray DS USA, Inc.
V Series Operating Instructions i
Table of Contents
Foreword .................................................................................................................................................................................................................................xv
Warnings.................................................................................................................................................................................................................................. xvi
Cautions................................................................................................................................................................................................................................... xxii
Notes.........................................................................................................................................................................................................................................xxvi
Indications for Use ...............................................................................................................................................................................................................xxvii
Applied Parts..........................................................................................................................................................................................................................xxvii
Unpacking Information......................................................................................................................................................................................................xxviii
Warranty Statements ......................................................................................................................................................................................................... xxviii
Exemptions.............................................................................................................................................................................................................................xxix
Service ......................................................................................................................................................................................................................................xxix
Manufacturer’s Responsibility ........................................................................................................................................................................................xxix
Company Contact ................................................................................................................................................................................................................ xxx
Symbols and Descriptions.................................................................................................................................................................................................xxxi
General Product Description .....................................................................................................................................1 - 1
General Product Description .............................................................................................................................................................................................1 - 2
V Series Monitoring Platform ..................................................................................................................................................................................1 - 2
Interfacing......................................................................................................................................................................................................................1 - 2
Key Features.............................................................................................................................................................................................................................1 - 3
V 12/V 21 Physical Views ....................................................................................................................................................................................................1 - 4
Front View......................................................................................................................................................................................................................1 - 4
Rear View........................................................................................................................................................................................................................1 - 6
Left Side Panel ..............................................................................................................................................................................................................1 - 8
Right Side Panel ...........................................................................................................................................................................................................1 - 9
V Dock Physical Views...........................................................................................................................................................................................................1 - 10
Back View........................................................................................................................................................................................................................1 - 10
Right Side View.............................................................................................................................................................................................................1 - 11
Left Side View................................................................................................................................................................................................................1 - 11
VPS Physical Views......................................................................................................................................................................................................1 - 12
Getting Started ...........................................................................................................................................................2 - 1
Introduction .............................................................................................................................................................................................................................2 - 2
Powering Unit On/Off...........................................................................................................................................................................................................2 - 2
Using the V 21 Touch Pad ...................................................................................................................................................................................................2 - 3
Main Display.............................................................................................................................................................................................................................2 - 3
System Status Message.............................................................................................................................................................................................2 - 5
Navigation Area ...........................................................................................................................................................................................................2 - 6
Dialogs........................................................................................................................................................................................................................................2 - 8
List Box ............................................................................................................................................................................................................................2 - 9
Alarm Icons and Messages..................................................................................................................................................................................................2 - 10
Alarm Icons ....................................................................................................................................................................................................................2 - 10
Parameter Messages ..................................................................................................................................................................................................2 - 10
Keyboard Dialog.....................................................................................................................................................................................................................2 - 11
Using the Keyboard....................................................................................................................................................................................................2 - 11
Digital Keypad Dialog...........................................................................................................................................................................................................2 - 12
Using the Digital Keypad..........................................................................................................................................................................................2 - 12
Message Dialogs.....................................................................................................................................................................................................................2 - 12
Audio Levels Dialog...............................................................................................................................................................................................................2 - 13
Configuring Audio Levels.........................................................................................................................................................................................2 - 14
Battery Levels Dialog.............................................................................................................................................................................................................2 - 14
Battery Indicator Colors.............................................................................................................................................................................................2 - 15
System Information ...............................................................................................................................................................................................................2 - 15
Display Setup ..............................................................................................................................................................3 - 1
Introduction .............................................................................................................................................................................................................................3 - 2
Table of Contents
ii V Series Operating Instructions
Display Options Dialog.........................................................................................................................................................................................................3 - 2
Navigating to the Display Options Dialog..........................................................................................................................................................3 - 2
Configuring Display Presets ....................................................................................................................................................................................3 - 4
Editing a Display Preset.............................................................................................................................................................................................3 - 9
Locking/Unlocking Presets ......................................................................................................................................................................................3 - 10
Temporarily Editing a Locked Display Preset....................................................................................................................................................3 - 11
Restoring a Temporary Preset.................................................................................................................................................................................3 - 12
Copying and Pasting a Display Preset .................................................................................................................................................................3 - 12
Renaming a Preset ......................................................................................................................................................................................................3 - 13
Renaming an Empty Preset......................................................................................................................................................................................3 - 13
Deleting a Preset..........................................................................................................................................................................................................3 - 14
Overlapping Waveform.............................................................................................................................................................................................3 - 14
Changing IBP Waveform Overlap Settings.........................................................................................................................................................3 - 15
Undoing an IBP Waveform Overlap......................................................................................................................................................................3 - 15
Displaying NIBP Digital Tile in Large Font..........................................................................................................................................................3 - 16
Privacy Mode.................................................................................................................................................................................................................3 - 17
Screen Lock Mode.......................................................................................................................................................................................................3 - 17
Standby Mode ..............................................................................................................................................................................................................3 - 17
Discharge Mode...........................................................................................................................................................................................................3 - 17
View All ECG Mode......................................................................................................................................................................................................3 - 17
Changing Lead/Size....................................................................................................................................................................................................3 - 18
Touch Screen Calibration .........................................................................................................................................................................................3 - 18
Display Options Troubleshooting ....................................................................................................................................................................................3 - 20
Mechanical Functions.................................................................................................................................................4 - 1
Introduction .............................................................................................................................................................................................................................4 - 2
V 12..............................................................................................................................................................................................................................................4 - 2
V 12 Docking .................................................................................................................................................................................................................4 - 2
V 12 Undocking............................................................................................................................................................................................................4 - 3
Battery Installation......................................................................................................................................................................................................4 - 4
Battery Removal...........................................................................................................................................................................................................4 - 6
Battery Charge Checking..........................................................................................................................................................................................4 - 8
Module Installation.....................................................................................................................................................................................................4 - 9
Module Indicator Lights............................................................................................................................................................................................4 - 10
Module Removal..........................................................................................................................................................................................................4 - 11
V Dock.........................................................................................................................................................................................................................................4 - 12
V Dock Mounting.........................................................................................................................................................................................................4 - 12
V Dock Dismounting ..................................................................................................................................................................................................4 - 14
V 21..............................................................................................................................................................................................................................................4 - 15
V 21 Docking .................................................................................................................................................................................................................4 - 15
V 21 Undocking............................................................................................................................................................................................................4 - 16
V Hub ..........................................................................................................................................................................................................................................4 - 17
V Hub Mounting...........................................................................................................................................................................................................4 - 17
V Hub Dismounting....................................................................................................................................................................................................4 - 17
Module Installation.....................................................................................................................................................................................................4 - 17
Module Removal..........................................................................................................................................................................................................4 - 18
Module Locking ...........................................................................................................................................................................................................4 - 19
Module Unlocking.......................................................................................................................................................................................................4 - 19
V Hub Status Indicators.............................................................................................................................................................................................4 - 20
Connecting the V Hub to the V 12/V 21 ..............................................................................................................................................................4 - 21
Rolling Stand............................................................................................................................................................................................................................4 - 23
Thermal Recorder...................................................................................................................................................................................................................4 - 26
Installing the Thermal Recorder Paper................................................................................................................................................................4 - 26
V Series Operating Instructions iii
Table of Contents
Mechanical Functions Troubleshooting ........................................................................................................................................................................4 - 28
Module Configuration................................................................................................................................................5 - 1
Module Status Dialog............................................................................................................................................................................................................5 - 2
Navigating to the Module Status Dialog ............................................................................................................................................................5 - 3
Enabling/Disabling a Module..................................................................................................................................................................................5 - 3
Changing an IBP or Temperature Module Channel ........................................................................................................................................5 - 3
Changing VDI Modes .................................................................................................................................................................................................5 - 4
V 12/V 21 V Hub Module Limitations ...................................................................................................................................................................5 - 5
V 12/V 21 Module Limitations.................................................................................................................................................................................5 - 5
VPS Synchronization .............................................................................................................................................................................................................5 - 6
Buttons on VPS.............................................................................................................................................................................................................5 - 6
VPS Synchronization: Mismatched Patient IDs.................................................................................................................................................5 - 6
VPS Synchronization: Same Patient IDs...............................................................................................................................................................5 - 7
VPS Synchronization Failures..................................................................................................................................................................................5 - 7
Module Configuration Troubleshooting........................................................................................................................................................................5 - 8
Patient Management..................................................................................................................................................6 - 1
Introduction .............................................................................................................................................................................................................................6 - 2
Patient Info Dialog .................................................................................................................................................................................................................6 - 2
Navigating to the Patient Info Dialog ..................................................................................................................................................................6 - 2
Admitting a Patient.....................................................................................................................................................................................................6 - 3
Patient Demographics ..............................................................................................................................................................................................6 - 3
Patient Room and Bed...............................................................................................................................................................................................6 - 5
Discharging a Patient.................................................................................................................................................................................................6 - 6
Clearing Patient History ............................................................................................................................................................................................6 - 7
Placing a Patient in Standby....................................................................................................................................................................................6 - 7
Exiting the Standby Mode........................................................................................................................................................................................6 - 7
Patient Management Troubleshooting..........................................................................................................................................................................6 - 8
Alarm Behavior ...........................................................................................................................................................7 - 1
General Alarm Behavior .......................................................................................................................................................................................................7 - 2
Physiological Alarms .............................................................................................................................................................................................................7 - 2
Alarm Behaviors...........................................................................................................................................................................................................7 - 2
Alarm Options...............................................................................................................................................................................................................7 - 2
Physiological Alarm Responses..............................................................................................................................................................................7 - 3
Technical Alarms.....................................................................................................................................................................................................................7 - 4
Alarm Behaviors...........................................................................................................................................................................................................7 - 4
Alarms .........................................................................................................................................................................8 - 1
Alarms ........................................................................................................................................................................................................................................8 - 2
Navigating to the Alarms Dialogs..........................................................................................................................................................................8 - 2
Alarm Limits..............................................................................................................................................................................................................................8 - 2
Configuring Alarm Limits..........................................................................................................................................................................................8 - 2
Factory Default Alarm Limits...................................................................................................................................................................................8 - 5
Auto-Set All Alarms Button......................................................................................................................................................................................8 - 10
Restore All Defaults Button......................................................................................................................................................................................8 - 10
Alarm Responses ....................................................................................................................................................................................................................8 - 11
Understanding Alarm Levels...................................................................................................................................................................................8 - 11
Characteristics of Visual Alarm Signals ................................................................................................................................................................8 - 11
Factory Default Alarm Priorities between Alarm Types.................................................................................................................................8 - 11
Configuring Alarm Levels.........................................................................................................................................................................................8 - 13
Understanding Alarm Response Settings...........................................................................................................................................................8 - 13
Configuring Alarm Response Settings.................................................................................................................................................................8 - 13
Factory Default Alarm Settings...............................................................................................................................................................................8 - 14
Arrhythmia Alarms.................................................................................................................................................................................................................8 - 17
Table of Contents
iv V Series Operating Instructions
Understanding Alarm Levels...................................................................................................................................................................................8 - 17
Configuring Arrhythmia Alarm Levels .................................................................................................................................................................8 - 17
Understanding Arrhythmia Alarm Responses ..................................................................................................................................................8 - 19
Configuring the Arrhythmia Alarm Responses ................................................................................................................................................8 - 19
Configuring Arrhythmia Alarm Setup..................................................................................................................................................................8 - 20
Configuring Advanced Arrhy Setup .....................................................................................................................................................................8 - 20
Alarm Setup..............................................................................................................................................................................................................................8 - 21
Configuring Alarm Setup..........................................................................................................................................................................................8 - 21
Alarms Troubleshooting......................................................................................................................................................................................................8 - 22
ECG – Arrhythmia........................................................................................................................................................9 - 1
Introduction .............................................................................................................................................................................................................................9 - 2
ECG Dialog ................................................................................................................................................................................................................................9 - 3
Navigating to the ECG Dialog .................................................................................................................................................................................9 - 3
Configuring the Arrhythmia Tab............................................................................................................................................................................9 - 3
Configuring Pacemakers...........................................................................................................................................................................................9 - 4
Configuring ECG Setup..............................................................................................................................................................................................9 - 5
Configuring the Arrhy Setup...................................................................................................................................................................................9 - 7
Relearning .....................................................................................................................................................................................................................9 - 7
Viewing All ECG Waveforms....................................................................................................................................................................................9 - 8
Arrhythmia Digital Tile Layout...........................................................................................................................................................................................9 - 9
About the Arrhythmia Tile .......................................................................................................................................................................................9 - 9
Arrhythmia Alarms......................................................................................................................................................................................................9 - 9
Message Area................................................................................................................................................................................................................9 - 9
ECG Waveform Tile Layout..................................................................................................................................................................................................9 - 10
About the ECG Tile......................................................................................................................................................................................................9 - 10
Arrhythmia Alarms......................................................................................................................................................................................................9 - 10
Message Area................................................................................................................................................................................................................9 - 10
Preparation and Lead Placement ....................................................................................................................................................................................9 - 12
Skin Preparation...........................................................................................................................................................................................................9 - 12
Electrode Patch Location..........................................................................................................................................................................................9 - 12
Lead Placement............................................................................................................................................................................................................9 - 13
Arrhythmia Algorithm ..........................................................................................................................................................................................................9 - 21
Noise and Artifact........................................................................................................................................................................................................9 - 21
Heart Rate Meter..........................................................................................................................................................................................................9 - 22
Filtering Pacer Signals................................................................................................................................................................................................9 - 22
ECG Amplitude.............................................................................................................................................................................................................9 - 22
Learning..........................................................................................................................................................................................................................9 - 22
Beat Detection and Typing ......................................................................................................................................................................................9 - 22
ECG Analysis Leads .....................................................................................................................................................................................................9 - 23
QT/QTc Digital Tile Layout .......................................................................................................................................................................................9 - 24
Arrhythmia Alarms.................................................................................................................................................................................................................9 - 26
Lethal Arrhythmia Alarms.........................................................................................................................................................................................9 - 26
Non-Lethal Arrhythmia Alarms...............................................................................................................................................................................9 - 27
ST Segment Analysis .............................................................................................................................................................................................................9 - 30
Learning............................................................................................................................................................................9 - 31
ECG Filters ......................................................................................................................................................................................................................9 - 31
12 Lead Interpretation..........................................................................................................................................................................................................9 - 32
12 Lead Dialog..............................................................................................................................................................................................................9 - 32
12 Lead Report .............................................................................................................................................................................................................9 - 36
ECG-Arrhythmia Troubleshooting ..................................................................................................................................................................................9 - 37
Respiration (Resp) ....................................................................................................................................................10 - 1
Introduction .......................................................................................................................................................................................................................... 10 - 2
V Series Operating Instructions v
Table of Contents
Resp Dialog............................................................................................................................................................................................................................ 10 - 2
Navigating to the Resp Dialog............................................................................................................................................................................. 10 - 2
Configuring Resp Alarm Limits............................................................................................................................................................................ 10 - 3
Configuring the Resp Parameter ........................................................................................................................................................................ 10 - 3
Configuring the Resp Waveform ....................................................................................................................................................................... 10 - 5
Configuring Apnea Alarms.................................................................................................................................................................................... 10 - 5
Respiration Tile Layouts .................................................................................................................................................................................................... 10 - 7
Respiration Digital Tile Layout............................................................................................................................................................................. 10 - 7
About the Resp Tile.................................................................................................................................................................................................. 10 - 7
Resp Alarms ................................................................................................................................................................................................................ 10 - 7
Message Area............................................................................................................................................................................................................. 10 - 7
Respiration Waveform Tile Layout ..................................................................................................................................................................... 10 - 8
About the Resp Waveform Tile............................................................................................................................................................................ 10 - 8
Respiration Troubleshooting .......................................................................................................................................................................................... 10 - 9
Invasive Blood Pressure (IBP) ..................................................................................................................................11 - 1
Introduction .......................................................................................................................................................................................................................... 11 - 2
IBP Dialog ............................................................................................................................................................................................................................... 11 - 3
Navigating to the IBP Dialog ............................................................................................................................................................................... 11 - 3
Configuring IBP Alarm Limits ............................................................................................................................................................................... 11 - 3
Configuring the IBP Parameter............................................................................................................................................................................ 11 - 4
Configuring the IBP Waveform............................................................................................................................................................................ 11 - 5
Measuring IBP....................................................................................................................................................................................................................... 11 - 7
Measuring ICP....................................................................................................................................................................................................................... 11 - 8
Connecting to the Camino Device..................................................................................................................................................................... 11 - 8
IBP Tile Layouts .................................................................................................................................................................................................................... 11 - 10
IBP Digital Tile Layout ............................................................................................................................................................................................. 11 - 10
PA Digital Tile............................................................................................................................................................................................................. 11 - 11
PAWP Digital .............................................................................................................................................................................................................. 11 - 11
Intracranial Pressure (ICP) Digital Tile ............................................................................................................................................................... 11 - 11
Intraabdominal Pressure (IAP) Digital Tile...................................................................................................................................................... 11 - 11
About the IBP Tile..................................................................................................................................................................................................... 11 - 12
Message Area............................................................................................................................................................................................................. 11 - 12
IBP Waveform Tile Layout...................................................................................................................................................................................... 11 - 13
Inserting the PA Catheter................................................................................................................................................................................................. 11 - 14
Pulmonary Artery Wedge Pressure (PAWP)............................................................................................................................................................... 11 - 15
Measuring PAWP ...................................................................................................................................................................................................... 11 - 15
Understanding the PAWP Dialog ....................................................................................................................................................................... 11 - 16
PAWP Setup Dialog.................................................................................................................................................................................................. 11 - 16
IBP Troubleshooting........................................................................................................................................................................................................... 11 - 18
Heart Rate (HR)..........................................................................................................................................................12 - 1
Introduction .......................................................................................................................................................................................................................... 12 - 2
HR Dialog................................................................................................................................................................................................................................ 12 - 2
Navigating to the HR Dialog................................................................................................................................................................................. 12 - 2
Configuring Heart Rate Alarm Limits ................................................................................................................................................................ 12 - 3
Configuring the Heart Rate Parameter............................................................................................................................................................. 12 - 3
Configuring the QRS Threshold .......................................................................................................................................................................... 12 - 4
Heart Rate Digital Tile Layout ......................................................................................................................................................................................... 12 - 5
About the HR Tile...................................................................................................................................................................................................... 12 - 5
HR Alarms.................................................................................................................................................................................................................... 12 - 5
Message Area............................................................................................................................................................................................................. 12 - 6
HR Troubleshooting ........................................................................................................................................................................................................... 12 - 6
Table of Contents
vi V Series Operating Instructions
Temperature (Temp) ................................................................................................................................................13 - 1
Introduction .......................................................................................................................................................................................................................... 13 - 2
Temperature Dialog ........................................................................................................................................................................................................... 13 - 3
Navigating to the Temperature Dialog ............................................................................................................................................................ 13 - 3
Configuring Temperature Alarm Limits ........................................................................................................................................................... 13 - 3
Configuring the Temperature Parameter........................................................................................................................................................ 13 - 4
Measuring ICT....................................................................................................................................................................................................................... 13 - 5
Connecting to the Camino Device..................................................................................................................................................................... 13 - 5
Measuring Temperature................................................................................................................................................................................................... 13 - 7
Temperature Probes................................................................................................................................................................................................ 13 - 7
Esophageal Stethoscope with 400 Series Thermistor Temperature Sensor....................................................................................... 13 - 8
Esophageal/Rectal Temperature Probe with 400 Series Thermistor..................................................................................................... 13 - 9
Temperature Digital Tile Layout .................................................................................................................................................................................... 13 - 11
About the Temperature Tile................................................................................................................................................................................. 13 - 12
Temperature Alarms................................................................................................................................................................................................ 13 - 12
Message Area............................................................................................................................................................................................................. 13 - 12
Temperature Troubleshooting ...................................................................................................................................................................................... 13 - 12
Non-Invasive Blood Pressure (NIBP) .......................................................................................................................14 - 1
Introduction .......................................................................................................................................................................................................................... 14 - 2
NIBP Dialog............................................................................................................................................................................................................................ 14 - 3
Navigating to the NIBP Dialog............................................................................................................................................................................. 14 - 3
Configuring NIBP Alarm Limits............................................................................................................................................................................ 14 - 3
Configuring the NIBP Parameter......................................................................................................................................................................... 14 - 3
Measuring NIBP................................................................................................................................................................................................................... 14 - 5
Measurement Types................................................................................................................................................................................................ 14 - 5
NIBP Cuff Checklist................................................................................................................................................................................................... 14 - 5
Measurement Limitations ..................................................................................................................................................................................... 14 - 6
Factors Affecting Blood Pressure Measurement Accuracy........................................................................................................................ 14 - 6
Preparing the Patient.............................................................................................................................................................................................. 14 - 8
Measuring NIBP ........................................................................................................................................................................................................ 14 - 8
NIBP Interval Measurements ................................................................................................................................................................................ 14 - 9
Pausing/Restarting a Clock or Interval NIBP Measurement ...................................................................................................................... 14 - 9
NIBP Stat Measurements ....................................................................................................................................................................................... 14 - 10
Stopping a Stat NIBP Measurement .................................................................................................................................................................. 14 - 10
General NIBP Information................................................................................................................................................................................................. 14 - 10
Cuff Inflation Time.................................................................................................................................................................................................... 14 - 10
NIBP Pressure Limit Fail Safe ................................................................................................................................................................................ 14 - 10
NIBP Tile Layouts ................................................................................................................................................................................................................. 14 - 10
NIBP Digital Tile Layout .......................................................................................................................................................................................... 14 - 10
About the NIBP Tile.................................................................................................................................................................................................. 14 - 11
NIBP Alarms ................................................................................................................................................................................................................ 14 - 11
Heart Rate (HR) Measurement ............................................................................................................................................................................. 14 - 12
Message Area............................................................................................................................................................................................................. 14 - 12
NIBP List Tile Layout ................................................................................................................................................................................................ 14 - 13
NIBP Troubleshooting........................................................................................................................................................................................................ 14 - 13
Pulse Oximetry (SpO2) .............................................................................................................................................15 - 1
Introduction .......................................................................................................................................................................................................................... 15 - 2
SpO2 Dialog........................................................................................................................................................................................................................... 15 - 3
Navigating to the SpO2 Dialog............................................................................................................................................................................ 15 - 3
Configuring SpO2 Alarm Limits........................................................................................................................................................................... 15 - 3
Configuring the SpO2 Parameter Setup .......................................................................................................................................................... 15 - 3
Configuring the SpO2 Waveform ...................................................................................................................................................................... 15 - 6
V Series Operating Instructions vii
Table of Contents
Measuring SpO2 .................................................................................................................................................................................................................. 15 - 7
Taking an SpO
2
Measurement............................................................................................................................................................................. 15 - 7
Nellcor
®
SpO2............................................................................................................................................................................................................. 15 - 8
Masimo SpO2............................................................................................................................................................................................................. 15 - 8
SpO2 Tile Layouts................................................................................................................................................................................................................ 15 - 9
SpO
2
Digital Tile Layout ......................................................................................................................................................................................... 15 - 9
About the SpO2 Tile ................................................................................................................................................................................................ 15 - 10
SpO2 Alarms............................................................................................................................................................................................................... 15 - 10
Message Area............................................................................................................................................................................................................. 15 - 10
SpO2 Waveform Tile Layout................................................................................................................................................................................. 15 - 11
About the SpO2 Waveform Tile........................................................................................................................................................................... 15 - 12
Performance Considerations........................................................................................................................................................................................... 15 - 12
SpO2 Troubleshooting...................................................................................................................................................................................................... 15 - 13
ST................................................................................................................................................................................16 - 1
Introduction .......................................................................................................................................................................................................................... 16 - 2
ST Dialog................................................................................................................................................................................................................................. 16 - 2
Navigating to the ST Dialog.................................................................................................................................................................................. 16 - 2
Configuring ST Alarms Limits............................................................................................................................................................................... 16 - 3
Configuring the ST Parameter ............................................................................................................................................................................ 16 - 3
Adjusting the ISO and J/ST Points...................................................................................................................................................................... 16 - 5
Reviewing ST Points ................................................................................................................................................................................................ 16 - 7
ST Relearning ............................................................................................................................................................................................................. 16 - 7
ST Tile Layouts...................................................................................................................................................................................................................... 16 - 8
ST Digital Tile Layout............................................................................................................................................................................................... 16 - 8
About the ST Tile....................................................................................................................................................................................................... 16 - 9
Message Area............................................................................................................................................................................................................. 16 - 9
ST Rep Beat Tile ......................................................................................................................................................................................................... 16 - 9
About the ST Rep Beat Tile.................................................................................................................................................................................... 16 - 10
ST Alarms..................................................................................................................................................................................................................... 16 - 10
ST Troubleshooting ............................................................................................................................................................................................................ 16 - 10
CO2 Monitoring (Optional) ......................................................................................................................................17 - 1
Introduction .......................................................................................................................................................................................................................... 17 - 2
CO2 Dialog............................................................................................................................................................................................................................. 17 - 3
Navigating to the CO2 Dialog.............................................................................................................................................................................. 17 - 3
Configuring CO2 Alarm Limits............................................................................................................................................................................. 17 - 3
Configuring the CO2 Parameter Setup............................................................................................................................................................. 17 - 4
Configuring the CO2 Waveform ........................................................................................................................................................................ 17 - 5
Taking a CO2 Measurement ................................................................................................................................................................................. 17 - 6
CO2 Sensors................................................................................................................................................................................................................ 17 - 6
CO2 Tile Layouts .................................................................................................................................................................................................................. 17 - 7
CO2 Digital Tile Layout........................................................................................................................................................................................... 17 - 7
About the CO2 Digital Tile .................................................................................................................................................................................... 17 - 7
CO2 Alarms ................................................................................................................................................................................................................. 17 - 7
Message Area............................................................................................................................................................................................................. 17 - 7
CO2 Waveform Tile Layout ................................................................................................................................................................................... 17 - 8
About the CO2 Waveform Tile............................................................................................................................................................................. 17 - 9
Message Area............................................................................................................................................................................................................. 17 - 9
CO2 Troubleshooting ........................................................................................................................................................................................................ 17 - 9
Cardiac Output (CO) (Optional) ...............................................................................................................................18 - 1
Introduction .......................................................................................................................................................................................................................... 18 - 2
Cardiac Output Dialog....................................................................................................................................................................................................... 18 - 3
Navigating to the Cardiac Output Dialog........................................................................................................................................................ 18 - 3
Table of Contents
viii V Series Operating Instructions
Configuring TBlood Alarm Limits ....................................................................................................................................................................... 18 - 3
Configuring the CO Parameter ........................................................................................................................................................................... 18 - 4
Measuring CO ....................................................................................................................................................................................................................... 18 - 6
Optimizing CO Measurements ............................................................................................................................................................................ 18 - 6
Auto and Manual CO Measurements................................................................................................................................................................ 18 - 6
Taking CO Measurements ..................................................................................................................................................................................... 18 - 6
CO Digital Tile Layout ........................................................................................................................................................................................................ 18 - 9
About the CO Tile ..................................................................................................................................................................................................... 18 - 9
CO Alarms.................................................................................................................................................................................................................... 18 - 9
Message Area............................................................................................................................................................................................................. 18 - 10
CO Troubleshooting........................................................................................................................................................................................................... 18 - 10
Bispectral Index (BIS) (Optional) .............................................................................................................................19 - 1
Introduction .......................................................................................................................................................................................................................... 19 - 2
BIS Dialog ............................................................................................................................................................................................................................... 19 - 3
Navigating to the BIS Dialog ................................................................................................................................................................................ 19 - 3
Configuring BIS Alarms........................................................................................................................................................................................... 19 - 3
Alarm Responses: Neuro Tab ............................................................................................................................................................................... 19 - 4
Configuring the BIS Parameter............................................................................................................................................................................ 19 - 4
Configuring the Tile Setup Tab ........................................................................................................................................................................... 19 - 5
Configuring the EEG Waveform .......................................................................................................................................................................... 19 - 6
Auto and Manual Sensor Check.......................................................................................................................................................................... 19 - 8
Auto Impedance Check.......................................................................................................................................................................................... 19 - 10
Measuring BIS ....................................................................................................................................................................................................................... 19 - 11
BIS Tile Layout....................................................................................................................................................................................................................... 19 - 12
BIS Digital Tile Layout ............................................................................................................................................................................................. 19 - 12
About the BIS Digital Tile....................................................................................................................................................................................... 19 - 13
About the BIS Parameters ..................................................................................................................................................................................... 19 - 13
BIS Alarms.................................................................................................................................................................................................................... 19 - 14
Message Area............................................................................................................................................................................................................. 19 - 14
BIS Waveform Tile Layout...................................................................................................................................................................................... 19 - 15
About the EEG Waveform Tile.............................................................................................................................................................................. 19 - 17
BIS Troubleshooting........................................................................................................................................................................................................... 19 - 17
Reports ......................................................................................................................................................................20 - 1
Introduction .......................................................................................................................................................................................................................... 20 - 2
Print Setup ............................................................................................................................................................................................................................. 20 - 2
Navigating to the Print Setup Dialog................................................................................................................................................................ 20 - 2
Configuring the Print Setup.................................................................................................................................................................................. 20 - 3
Configuring the Waveforms to Print ................................................................................................................................................................. 20 - 4
Configuring the Print Destination...................................................................................................................................................................... 20 - 5
Print Queue............................................................................................................................................................................................................................ 20 - 6
Navigating to the Print Queue Dialog .............................................................................................................................................................. 20 - 6
Deleting all Print Requests.................................................................................................................................................................................... 20 - 7
Internal Recorder (Optional)............................................................................................................................................................................................ 20 - 7
Printing to the Thermal Recorder....................................................................................................................................................................... 20 - 7
Printing an ECG Strip............................................................................................................................................................................................... 20 - 7
Laser Printer Reports.......................................................................................................................................................................................................... 20 - 8
Waveform Report ..................................................................................................................................................................................................... 20 - 8
12 Lead Report .......................................................................................................................................................................................................... 20 - 10
List Trend Report ...................................................................................................................................................................................................... 20 - 15
Disclosure Overview Report ................................................................................................................................................................................. 20 - 17
Disclosure Detail Report......................................................................................................................................................................................... 20 - 20
Event List Report....................................................................................................................................................................................................... 20 - 23
V Series Operating Instructions ix
Table of Contents
Event Detail Report.................................................................................................................................................................................................. 20 - 25
Graphic Trend Report.............................................................................................................................................................................................. 20 - 28
Print On Alarm Report............................................................................................................................................................................................. 20 - 31
ST Report ..................................................................................................................................................................................................................... 20 - 33
PAWP Report.............................................................................................................................................................................................................. 20 - 36
Drug Calculations Report ...................................................................................................................................................................................... 20 - 38
Hemodynamic Calculation Report..................................................................................................................................................................... 20 - 40
Quick Trend Report.................................................................................................................................................................................................. 20 - 42
System Settings Report.......................................................................................................................................................................................... 20 - 44
Printing Troubleshooting................................................................................................................................................................................................. 20 - 46
History Dialogs..........................................................................................................................................................21 - 1
Introduction .......................................................................................................................................................................................................................... 21 - 2
Trends...................................................................................................................................................................................................................................... 21 - 2
Navigating to the Quick Trends Tab.................................................................................................................................................................. 21 - 2
About Quick Trends................................................................................................................................................................................................. 21 - 2
List Trends ................................................................................................................................................................................................................... 21 - 2
Navigating to the List Trends Tab....................................................................................................................................................................... 21 - 3
About the List Trends Tab ..................................................................................................................................................................................... 21 - 3
Navigating in the List Trends Tab....................................................................................................................................................................... 21 - 3
Configuring a List Trends Display Interval....................................................................................................................................................... 21 - 4
Configuring a List Trends Display Group......................................................................................................................................................... 21 - 4
Configuring a List Trends Time Search............................................................................................................................................................. 21 - 4
Printing from the List Trends Tab....................................................................................................................................................................... 21 - 4
Graphic Trends .......................................................................................................................................................................................................... 21 - 4
Navigating to the Graphic Trends Tab.............................................................................................................................................................. 21 - 5
About the Graphic Trends Tab ............................................................................................................................................................................ 21 - 5
Viewing Event Detail from Graphic Trends..................................................................................................................................................... 21 - 6
Navigating in the Graphic Trends Tab .............................................................................................................................................................. 21 - 6
Configuring a Graphic Trends Display Interval.............................................................................................................................................. 21 - 6
Configuring a Graphic Trends Display Group ................................................................................................................................................ 21 - 6
Configuring a Graphic Trends Time Search .................................................................................................................................................... 21 - 6
Printing from Graphic Trends............................................................................................................................................................................... 21 - 6
Events Tab.............................................................................................................................................................................................................................. 21 - 7
Navigating to the Events Tab............................................................................................................................................................................... 21 - 7
Events - List View ...................................................................................................................................................................................................... 21 - 7
About the Events - List View Tab ........................................................................................................................................................................ 21 - 7
Navigating in the Events - List View................................................................................................................................................................... 21 - 8
Applying/Removing an Events Filter................................................................................................................................................................. 21 - 8
Tagging Events in the Events - List View.......................................................................................................................................................... 21 - 9
Archiving Events in the Events - List View....................................................................................................................................................... 21 - 9
Changing Leads in the Events - List View ........................................................................................................................................................ 21 - 10
Creating an Events - List View Time Search .................................................................................................................................................... 21 - 10
Deleting Events in the Events - List View......................................................................................................................................................... 21 - 10
Configuring Displayed Parameters for the Events - List View.................................................................................................................. 21 - 10
Printing from the Events - List View................................................................................................................................................................... 21 - 10
Accessing the Events - Detail View..................................................................................................................................................................... 21 - 11
About the Events - Detail View............................................................................................................................................................................ 21 - 11
Navigating in the Events - Detail View.............................................................................................................................................................. 21 - 11
Configuring Displayed Parameters for the Events - Detail View ............................................................................................................. 21 - 12
Printing from the Events - Detail View.............................................................................................................................................................. 21 - 12
Full Disclosure....................................................................................................................................................................................................................... 21 - 13
Navigating to the Full Disclosure - Overview View ...................................................................................................................................... 21 - 13
Table of Contents
x V Series Operating Instructions
About the Full Disclosure - Overview View..................................................................................................................................................... 21 - 13
Navigating in the Full Disclosure - Overview View....................................................................................................................................... 21 - 13
Changing Leads in the Full Disclosure - Overview View ............................................................................................................................ 21 - 14
Creating a Full Disclosure - Overview View Time Search........................................................................................................................... 21 - 14
Printing from the Full Disclosure - Overview View....................................................................................................................................... 21 - 14
Accessing the Full Disclosure - Detail View..................................................................................................................................................... 21 - 14
About the Full Disclosure - Detail View ............................................................................................................................................................ 21 - 14
Navigating in the Full Disclosure- Detail View............................................................................................................................................... 21 - 15
History Dialog Common Functions .............................................................................................................................................................................. 21 - 15
Configuring a Display Interval ............................................................................................................................................................................. 21 - 15
Configuring a Display Group................................................................................................................................................................................ 21 - 16
Configuring Custom Configuration Option.................................................................................................................................................... 21 - 16
Configuring a Time Search.................................................................................................................................................................................... 21 - 18
Changing Leads ........................................................................................................................................................................................................ 21 - 19
Adding/Deleting Event Notes.............................................................................................................................................................................. 21 - 19
Performing ECG Waveform Measurements.................................................................................................................................................... 21 - 20
Configuring Displayed Parameters.................................................................................................................................................................... 21 - 21
Printing from the Historical Dialogs .................................................................................................................................................................. 21 - 22
Historical Events................................................................................................................................................................................................................... 21 - 24
Troubleshooting.................................................................................................................................................................................................................. 21 - 30
Calculators.................................................................................................................................................................22 - 1
Hemodynamics Calculations........................................................................................................................................................................................... 22 - 2
Hemodynamics Dialog...................................................................................................................................................................................................... 22 - 2
Navigating to the Calculator Tab........................................................................................................................................................................ 22 - 2
Navigating to the Log Tab..................................................................................................................................................................................... 22 - 5
Hemodynamic Calculations Report.............................................................................................................................................................................. 22 - 5
Hemodynamic Calculations Troubleshooting.......................................................................................................................................................... 22 - 6
Drug Calculations................................................................................................................................................................................................................ 22 - 6
Drug Calculator Dialog...................................................................................................................................................................................................... 22 - 6
Navigating to the Drug Calculator Dialog....................................................................................................................................................... 22 - 6
Configuring a Drug Calculation .......................................................................................................................................................................... 22 - 7
Previous Drug Calculations................................................................................................................................................................................... 22 - 12
Deleting a Drug from the Previous Calculations List................................................................................................................................... 22 - 13
Navigating to the Drug Titration Table ............................................................................................................................................................ 22 - 13
Drug Calculations Report ................................................................................................................................................................................................. 22 - 14
Drug Calculator Troubleshooting ................................................................................................................................................................................. 22 - 14
Alarm Watch..............................................................................................................................................................23 - 1
Alarm Watch.......................................................................................................................................................................................................................... 23 - 2
Navigating to the Alarm Watch Setup Dialog................................................................................................................................................ 23 - 2
Alarm Watch Bed Status Symbols ...................................................................................................................................................................... 23 - 3
Adding a Bed.............................................................................................................................................................................................................. 23 - 3
Removing a Bed........................................................................................................................................................................................................ 23 - 4
Adding Alarms to Watched Alarm List.............................................................................................................................................................. 23 - 4
Removing Alarms from the Watched Alarms List......................................................................................................................................... 23 - 5
Alarm Watch Tile.................................................................................................................................................................................................................. 23 - 5
Alarm Watch Notification................................................................................................................................................................................................. 23 - 6
Acknowledging Watched Alarms....................................................................................................................................................................... 23 - 7
Alarm Watch Troubleshooting....................................................................................................................................................................................... 23 - 8
Remote View .............................................................................................................................................................24 - 1
Remote View......................................................................................................................................................................................................................... 24 - 2
Remote View Setup at the Host Monitor ......................................................................................................................................................... 24 - 2
Configuring the Remote View Display Dialog .............................................................................................................................................. 24 - 3
V Series Operating Instructions xi
Table of Contents
Managing Alarm Delays from the Host Monitor........................................................................................................................................... 24 - 4
Printing from the Remote View Dialog............................................................................................................................................................. 24 - 5
Remote View Troubleshooting....................................................................................................................................................................................... 24 - 5
VAccess ......................................................................................................................................................................25 - 1
Introduction .......................................................................................................................................................................................................................... 25 - 2
Navigating to the VAccess Dialog ...................................................................................................................................................................... 25 - 2
Connecting to a VAccess Location..................................................................................................................................................................... 25 - 2
System Setup ............................................................................................................................................................26 - 1
Introduction .......................................................................................................................................................................................................................... 26 - 2
System Dialog....................................................................................................................................................................................................................... 26 - 2
Navigating to the System Dialog........................................................................................................................................................................ 26 - 2
Configuring the General Tab................................................................................................................................................................................ 26 - 3
Configuring the Quick Functions Tab............................................................................................................................................................... 26 - 4
Configuring the Alarms Tab ................................................................................................................................................................................. 26 - 5
Configuring the Alarm/Response Tab Order.................................................................................................................................................. 26 - 7
Configuring the Printer Tab.................................................................................................................................................................................. 26 - 9
Configuring the Network Tab .............................................................................................................................................................................. 26 - 10
Configuring the Alarm Watch Tab...................................................................................................................................................................... 26 - 18
Adding an Alarm Watch Location ...................................................................................................................................................................... 26 - 18
Removing an Alarm Watch Location................................................................................................................................................................. 26 - 19
Adding Alarms to a Watched Alarm List .......................................................................................................................................................... 26 - 19
Removing Alarms from the Watch Alarm List................................................................................................................................................ 26 - 20
Alarm Watch Response........................................................................................................................................................................................... 26 - 20
Configuring the System Tab................................................................................................................................................................................. 26 - 20
Configuration Management............................................................................................................................................................................................ 26 - 23
Product Maintenance ...............................................................................................................................................27 - 1
Introduction .......................................................................................................................................................................................................................... 27 - 2
Care and Cleaning of Monitor, Modules and Racks ................................................................................................................................................ 27 - 2
Monitor Sterilization................................................................................................................................................................................................ 27 - 2
Care and Cleaning of SpO
2
Sensors.............................................................................................................................................................................. 27 - 3
Care and Cleaning of Reusable Temperature Probes ............................................................................................................................................ 27 - 3
Care and Cleaning of Reusable Cuffs .......................................................................................................................................................................... 27 - 4
Reusable Cuffs with Bladders............................................................................................................................................................................... 27 - 4
Reusable Bladderless Cuffs ................................................................................................................................................................................... 27 - 4
Care and Cleaning of Lead ECG Cables and Wires .................................................................................................................................................. 27 - 5
Battery Maintenance ......................................................................................................................................................................................................... 27 - 5
Care of CO2 Module ........................................................................................................................................................................................................... 27 - 6
Accessories ...............................................................................................................................................................28 - 1
ECG ........................................................................................................................................................................................................................................... 28 - 2
ECG Electrodes .......................................................................................................................................................................................................... 28 - 2
ECG Cables.................................................................................................................................................................................................................. 28 - 2
ECG Leadsets ............................................................................................................................................................................................................. 28 - 2
SpO2 ........................................................................................................................................................................................................................................ 28 - 4
Masimo SpO2 Module ............................................................................................................................................................................................ 28 - 4
Nellcor® SpO2 Module............................................................................................................................................................................................ 28 - 5
NIBP .......................................................................................................................................................................................................................................... 28 - 6
Temperature ........................................................................................................................................................................................................................ 28 - 7
Disposable 400 Series Temperature Probes................................................................................................................................................... 28 - 7
IBP ............................................................................................................................................................................................................................................. 28 - 7
CO2........................................................................................................................................................................................................................................... 28 - 8
Oridion Microstream CO2 Module..................................................................................................................................................................... 28 - 8
CO ............................................................................................................................................................................................................................................. 28 - 9
Table of Contents
xii V Series Operating Instructions
BIS.............................................................................................................................................................................................................................................. 28 - 9
Miscellaneous Accessories............................................................................................................................................................................................... 28 - 10
Mounts & Mounting Accessories................................................................................................................................................................................... 28 - 10
Networking Accessories.................................................................................................................................................................................................... 28 - 11
Manuals................................................................................................................................................................................................................................... 28 - 11
Product Specifications..............................................................................................................................................29 - 1
Specifications........................................................................................................................................................................................................................ 29 - 3
Standards Compliance ........................................................................................................................................................................................... 29 - 3
V 12 Safety Designations: ...................................................................................................................................................................................... 29 - 4
V 21 Safety Designations: ...................................................................................................................................................................................... 29 - 5
V Dock Safety Designations:................................................................................................................................................................................. 29 - 6
VPS Safety Designations: ...................................................................................................................................................................................... 29 - 7
V Hub Safety Designations:................................................................................................................................................................................... 29 - 8
12 Lead ECG Safety Designations:...................................................................................................................................................................... 29 - 8
CO Module Safety Designations: ....................................................................................................................................................................... 29 - 9
CO2 Module Safety Designations:...................................................................................................................................................................... 29 - 10
IBP Module Safety Designations:........................................................................................................................................................................ 29 - 11
Temp Module Safety Designations:................................................................................................................................................................... 29 - 11
Recorder Safety Designations:............................................................................................................................................................................. 29 - 12
VDI Safety Designations:........................................................................................................................................................................................ 29 - 13
BIS Module Safety Designations: ........................................................................................................................................................................ 29 - 14
Visual and Auditory Alarm Disclosure............................................................................................................................................................... 29 - 14
Verifying Alarm Functionality .............................................................................................................................................................................. 29 - 15
ECG Performance................................................................................................................................................................................................................. 29 - 16
Impedance Respiration Performance .......................................................................................................................................................................... 29 - 28
Non-Invasive Blood Pressure (NIBP) Performance .................................................................................................................................................. 29 - 31
Invasive Blood Pressure (IBP) Performance................................................................................................................................................................ 29 - 34
Temperature Performance............................................................................................................................................................................................... 29 - 36
Pulse Oximetry (SpO2) Performance............................................................................................................................................................................ 29 - 38
Thermodultion Cardiac Output (CO) Performance................................................................................................................................................. 29 - 41
Carbon Dioxide (CO2) Performance ............................................................................................................................................................................. 29 - 42
Bispectral Index (BIS) Performance............................................................................................................................................................................... 29 - 45
Continuous Cardiac Output (CCO) Performance..................................................................................................................................................... 29 - 46
Gases Performance............................................................................................................................................................................................................. 29 - 49
SvO2 Output Performance............................................................................................................................................................................................... 29 - 51
Analog Output...................................................................................................................................................................................................................... 29 - 51
Drug Calculations................................................................................................................................................................................................................ 29 - 52
Patient Contacting Materials........................................................................................................................................................................................... 29 - 52
Power Specifications ......................................................................................................................................................................................................... 29 - 53
Recorder Performance Specifications............................................................................................................................................................... 29 - 53
Safety Designations ........................................................................................................................................................................................................... 29 - 54
Safety Classification ................................................................................................................................................................................................ 29 - 54
Electromagnetic Capability ............................................................................................................................................................................................. 29 - 55
EMC Safety ................................................................................................................................................................................................................. 29 - 55
V 12/V 21 .................................................................................................................................................................................................................... 29 - 55
Radio Regulatory Compliance ............................................................................................................................................................................. 29 - 58
Environmental Conditions............................................................................................................................................................................................... 29 - 60
Power Supply............................................................................................................................................................................................................. 29 - 60
Sound....................................................................................................................................................................................................................................... 29 - 60
Communication Protocols ........................................................................................................
....................................................................................... 29 - 60
Wir
e
less Network................................................................................................................................................................................................................. 29 - 60
Connection to Panorama
®
Central Station................................................................................................................................................................. 29 - 61
V Series Operating Instructions xiii
Table of Contents
Operator Position................................................................................................................................................................................................................ 29 - 61
Glossary .....................................................................................................................................................................30 - 1
Terms, Acronyms, and Abbreviations.......................................................................................................................................................................... 30 - 2
xiv V Series Operating Instructions
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V Series Operating Instructions xv
Foreword Introduction
Foreword
CAUTION: U.S. Federal Law restricts this device to sale by or on the order of a
physician or other practitioner licensed by U.S. state law to use or order
the use of this device.
NOTE: Figures in this manual are provided for reference purposes only.
Screens may slightly differ based screen resolution and setup
configuration.
Patents: This device is covered under one or more of the following U.S. Patents: RE 38,492; RE 38,476;
7,221,971; 7,215,986; 7,215,984; 6,850,787; 6,826,419; 6,822,564; 6,816,741; 6,745,060; 6,699,194;
6,684,090; 6,654,624; 6,650,917; 6,643,530; 6,606,511; 6,463,311; 6,430,525; 6,360,114; 6,236,872;
6,229,856; 6,067,462; 6,011,986; 6,002,952; 5,919,134; 5,769,785;5,758,644; 5,685,299; 5,632,272;
5,490,505; 5,482,036; 4,802,486; 4,869,254; 4,928,692; 4,934,372; 4,960,126; 5,078,136;5,485,847;
5,743,263; 5,865,736; 6,035,223; 6,298,252; 6,463,310; 6,591,123; 6,675,031; 6,708,049; 6,801,797;
7,254,433; 6,428,483; 6,997,880; 5,300,859, 6,437,316; 7,530,955 RE 35,122 foreign equivalents; and
Masimo patents (www.masimo.com/patents.htm). Possession or purchase of this device does not
convey any express or implied license to use the device with replacement parts which would, alone,
or in combination with this device, fall within the scope of one or more of the patents relating to this
device.
General knowledge of monitoring and an understanding of the features and functions of the V 12/V
21 are prerequisites for its proper use.
Please read and adhere to all of the warnings and precautions listed throughout this manual.
A WARNING is provided to alert the user to potentially serious outcomes (death, injury or serious
adverse events) to the patient or the user.
A CAUTION is provided to alert the user that special care should be taken for the safe and effective
use of the device. They will include actions to be taken to avoid effects on patients or users that will
not be potentially life threatening or result in serious injury, but about which the user should be
aware.
A NOTE is provided when additional general information is available.
Introduction Warnings
xvi V Series Operating Instructions
Warnings
WARNING: Only skilled/trained clinical professionals should operate this
equipment.
WARNING: It is important for the hospital or organization that uses this equipment
to perform a reasonable service/maintenance plan. Neglect of this may
result in machine breakdown or personal injury.
WARNING: Possible explosion hazard. Do not operate machine near flammable
anesthetic agents or other flammable substances. Do not use
flammable anesthetic agents (i.e., ether or cyclopropane.)
WARNING: If liquid is accidentally spilled on equipment, battery, or accessories, or
they have been immersed in liquid, contact service personnel. Do not
operate the equipment before it has been tested and approved for
further use.
WARNING: Do not disassemble, crush, heat above 100°C (212°F), or incinerate
batteries or else fire, exposion or severe burn hazard could occur.
Replace only with the Mindray P/N 0146-00-0091-01. See operator’s
manual for safety instructions. Battery is not fully charged upon
delivery. Please charge battery before initial use.
WARNING: The Lithium-ion batteries have a service life of 3 years. Please replace
your battery when it reaches the end of its service life. Failure to replace
the battery may cause serious damage to your device from battery
overheating.
WARNING: Keep batteries out of children's reach.
WARNING: Do not connect other equipment to the same MPSO (Multiple Portable
Socket Outlets i.e. Multiple outlet extension cords) with the V 12/V 21,
as it may increase system leakage current. Only use the MPSO to supply
power to the equipment.
WARNING: Devices connected to the equipment must meet the requirements of
the applicable IEC standards (e.g. IEC 60950 safety standards for
information technology equipment and IEC 60601-1 safety standards
for medical electrical equipment). The system configuration must meet
the requirements of the IEC 60601-1 medical electrical systems
standard. Any personnel who connect devices to the equipment’s
signal input/output port is responsible for providing evidence that the
safety certification of the devices has been performed in accordance to
the IEC 60601-1. If you have any questions, please contact Mindray.
WARNING: Use of the V 12/V 21 in the vicinity of explosive anesthetics and in the
presence of electromagnetic interference or power overloads caused
by electrosurgical or diathermy instruments could create a potential
hazard or could damage the monitor.
WARNING: This device is NOT suitable for use in a magnetic resonance imaging
(MRI) environment.
WARNING: Magnetic and electrical fields are capable of interfering with the proper
performance of the equipment. For this reason make sure that all
external devices operated in the vicinity of the equipment comply with
the relevant EMC requirements. Mobile phone, X-ray equipment or MRI
devices are a possible source of interference as they may emit higher
levels of electromagnetic radiation.
WARNING: This device is not intended for direct cardiac application.
V Series Operating Instructions xvii
Warnings Introduction
WARNING: Use of the V 12/V 21 is restricted to one patient at a time.
WARNING: Electrode polarization: some electrodes may be subject to large offset
potentials due to polarization. Use only electrodes as recommended by
Mindray. Recovery time after application of defibrillator pulses may be
especially compromised. Squeeze bulb electrodes commonly used for
diagnostic ECG recording may be particularly vulnerable to this effect.
Electrodes of dissimilar metals should not be used unless the amplifier
can handle polarization potentials as high as 1 volt (V).
WARNING: No modification of this equipment is allowed.
WARNING: Do not open the equipment housings. All servicing and future
upgrades must be carried out by the personnel trained and authorized
by Mindray only.
WARNING: Do not touch the patient and live parts simultaneously. Live parts
include, but are not limited to device connectors, recorder print head,
and battery connector. Otherwise, you will be subject to electric shock.
WARNING: To reduce the hazard of burns in the high-frequency surgical neutral
electrode connection, the electrodes should not be located between
the surgical site and the electro-surgical unit return electrode.
WARNING: Be sure to select the correct patient category setting for your patient
before measurement. Applying the adult settings to a pediatric or
neonatal patient may present a safety hazard.
WARNING: Patients with fragile skin, dermal allergies, or a history of skin reactions
to adhesive tapes may show a dermatitis type reaction to ECG
electrodes and SpO
2
sensors.
WARNING: Reliably attach Potential Equalization connector to the safety ground
when interconnecting V 12/V 21 with other medical or non-medical
electrical equipment to minimize the risk of excessive leakage current
and/or shock hazard.
WARNING: This unit uses a common isolation path for the ECG leads and the
Invasive Pressure Channels. Ensure that conductive parts of the ECG
electrodes do not contact other conductive parts including earth
ground. Do not connect any non-isolated accessories to the unit or to
the ECG or invasive pressure channel inputs when connected to a
patient. Insure that the total chassis leakage currents of all connected
units does not exceed 100μA in normal conditions and does not exceed
300μA in a single fault condition. Use an IEC 60601-1 approved
isolation / separation transformer if required. Do not operate the
equipment with any cover removed. Do not simultaneously touch the
patient and any piece of electrical equipment if any cover has been
removed from the equipment.
WARNING: When using the 12 lead ECG device cable, the device is not protected
against Electro Surgical Unit (ESU) interference.
WARNING: While monitoring the heart rate (HR), all arrhythmia detection is
disabled when an ESU event is detected.
WARNING: The ST algorithm has been tested for accuracy of the ST segment data.
The significance of the ST segment changes need to be determined by a
clinician.
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