H 046 010879 00 BeneVision CMS Operators Manual R3 9.0
H 046 010879 00 BeneVision CMS Operators Manual R3 9.0
H 046 010879 00 BeneVision CMS Operators Manual R3 9.0
Operator’s Manual
© Copyright 2017 -2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
■ Release time: May 2019
■ Revision: 9.0
WARNING
• Federal Law (USA) 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.
I
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual
property rights to this Mindray product and this manual. This manual may refer to information protected by
copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of
others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the
information in this manual in any manner whatsoever without the written permission of Mindray is strictly
forbidden.
Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner
whatsoever without the written permission of Mindray is strictly forbidden.
Manufacturer’s Responsibility
Contents of this manual are subject to changes without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained
herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of
this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
■ All installation operations, expansions, changes, modifications and repairs of this product are conducted by
Mindray authorized personnel;
■ The electrical installation of the relevant room complies with the applicable national and local
requirements;
■ The product is used in accordance with the instructions for use.
WARNING
• This equipment must be operated by skilled/trained clinical professionals.
• It is important for the hospital or organization that employs this equipment to carry out a
reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal
injury.
II
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Website www.mindray.com
Website: www.mindray.com
III
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in accordance with its
function and intended use. Observance of this manual is a prerequisite for proper product performance and
correct operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not apply to your
product. If you have any question, please contact Mindray.
This manual is an integral part of the product. It should always be kept close to the equipment so that it can be
obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working knowledge of medical
procedures, practices and terminology as required for monitoring of critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data
displayed on your central monitoring system.
The “XX” symbol in an illustration may refer to parameter numeric values, waveform data, or descriptive text for a
functionality.
Conventions
■ Italic text is used in this manual to quote the referenced manuals, chapters, sections and formulas.
■ Bold text is used to indicate the screen texts and names of hard keys.
■ → is used to indicate operational procedures.
IV
Contents
1 Safety .................................................................................................................................................................................. 1 - 1
1
3.5.10 Viewing Device Location ........................................................................................................................................................... 3 - 14
3.5.11 Minitrends Window ..................................................................................................................................................................... 3 - 14
3.5.12 Early Warning Score (EWS) ....................................................................................................................................................... 3 - 17
3.5.13 ECG 24h Summary ....................................................................................................................................................................... 3 - 20
3.5.14 Arrhythmia Alarm Timeout ....................................................................................................................................................... 3 - 20
3.6 Operating Mode ............................................................................................................................................................................................ 3 - 22
3.6.1 Standby Mode .................................................................................................................................................................................. 3 - 22
3.6.2 Night Mode ....................................................................................................................................................................................... 3 - 23
3.6.3 Privacy Mode .................................................................................................................................................................................... 3 - 23
3.7 Viewing System Information .................................................................................................................................................................... 3 - 24
3.8 Restarting the System ................................................................................................................................................................................. 3 - 24
3.9 Turning Off the System ............................................................................................................................................................................... 3 - 24
5 Alarms ................................................................................................................................................................................ 5 - 1
2
5.4 Clearing Alarms in the Alarm List ..............................................................................................................................................................5 - 3
5.5 Setting Alarm Properties ...............................................................................................................................................................................5 - 4
5.5.1 Setting Parameter Alarm Properties ...........................................................................................................................................5 - 4
5.5.2 Changing Arrhythmia Alarm Settings ........................................................................................................................................5 - 5
5.5.3 Changing ST Alarm Settings ..........................................................................................................................................................5 - 5
5.5.4 Setting Alarm Volume .....................................................................................................................................................................5 - 5
5.5.5 Setting Alarm Sound Pattern, Alarm Interval, Alarm Volume Escalation, and Audio Off Priority ........................5 - 6
5.5.6 Setting Alarm Sound for a Single Bed ........................................................................................................................................5 - 6
5.5.7 Setting Reminder Tones .................................................................................................................................................................5 - 6
5.5.8 Setting Alarm Latching ...................................................................................................................................................................5 - 6
5.5.9 Setting Alarm Properties for External Devices ........................................................................................................................5 - 7
5.6 Alarm Pause .......................................................................................................................................................................................................5 - 7
5.6.1 Pausing Alarms ...................................................................................................................................................................................5 - 7
5.6.2 System Responses after Pausing Alarms ..................................................................................................................................5 - 8
5.7 Alarm Audio Pause ..........................................................................................................................................................................................5 - 8
5.7.1 Pausing Alarm Sound ......................................................................................................................................................................5 - 8
5.7.2 System Responses after Pausing Alarm Sound ......................................................................................................................5 - 8
5.8 Alarm Reset ........................................................................................................................................................................................................5 - 9
5.8.1 Resetting Alarms Triggered for Beds ..........................................................................................................................................5 - 9
5.8.2 Resetting System Alarms ............................................................................................................................................................. 5 - 10
5.9 CMS System Silence ..................................................................................................................................................................................... 5 - 10
5.9.1 Silencing CMS .................................................................................................................................................................................. 5 - 10
5.9.2 System Responses after Silencing CMS .................................................................................................................................. 5 - 10
5.9.3 Exiting CMS Silenced Status ....................................................................................................................................................... 5 - 10
6 Review ................................................................................................................................................................................ 6 - 1
3
6.8.1 Entering the Full Disclosure Review Page ................................................................................................................................6 - 7
6.8.2 Selecting Waveforms .......................................................................................................................................................................6 - 7
6.8.3 Compressed Waveform ...................................................................................................................................................................6 - 7
6.8.4 Detail Waveform Window ..............................................................................................................................................................6 - 8
6.8.5 Printing Compressed Waveforms or Detail Waveforms ................................................................................................... 6 - 11
6.8.6 Recording Detailed Waveforms ............................................................................................................................................... 6 - 12
6.8.7 Exporting Waveform Data ........................................................................................................................................................... 6 - 12
6.9 Events Review Page ..................................................................................................................................................................................... 6 - 13
6.9.1 Entering the Events Review Page ............................................................................................................................................. 6 - 13
6.9.2 Event List ........................................................................................................................................................................................... 6 - 13
6.9.3 Event Detail Window .................................................................................................................................................................... 6 - 14
6.9.4 Printing Events ................................................................................................................................................................................ 6 - 15
6.9.5 Recording Event Detail ................................................................................................................................................................. 6 - 16
6.10 12-Lead ECG Review Page ...................................................................................................................................................................... 6 - 16
6.10.1 Entering the 12-Lead Review Page ....................................................................................................................................... 6 - 16
6.10.2 Median Complex Window (For Glasgow Algorithm Only) ........................................................................................... 6 - 16
6.10.3 Configuring 12-Lead ECG Waveforms .................................................................................................................................. 6 - 16
6.10.4 Caliper Measurement ................................................................................................................................................................. 6 - 16
6.10.5 Printing 12-Lead Analysis Reports ......................................................................................................................................... 6 - 17
6.11 ST Review Page ........................................................................................................................................................................................... 6 - 17
6.11.1 Entering the ST Review Page ................................................................................................................................................... 6 - 17
6.11.2 Setting ST Reference Templates ............................................................................................................................................. 6 - 17
6.11.3 Displaying/Hiding ST Reference Templates ....................................................................................................................... 6 - 17
6.11.4 Displaying/Hiding Markers ....................................................................................................................................................... 6 - 17
6.11.5 Printing ST Segment Waveforms ........................................................................................................................................... 6 - 17
6.12 Arrhythmia Statistics Page ...................................................................................................................................................................... 6 - 18
6.12.1 Entering the Arrhythmia Statistics Page .............................................................................................................................. 6 - 18
6.12.2 Viewing Arrhythmia Statistics ................................................................................................................................................. 6 - 18
6.12.3 Printing Arrhythmia Statistics Results .................................................................................................................................. 6 - 18
7 Calculation ......................................................................................................................................................................... 7 - 1
4
7.6.3 Printing Oxygenation Calculation Results ................................................................................................................................7 - 5
7.6.4 Input Parameters for Oxygenation Calculations ....................................................................................................................7 - 6
7.6.5 Calculated Parameters and Formulas for Oxygenation Calculations .............................................................................7 - 6
7.7 Ventilation Calculations ................................................................................................................................................................................7 - 7
7.7.1 Performing Ventilation Calculations ..........................................................................................................................................7 - 7
7.7.2 Viewing Ventilation Calculation Results ...................................................................................................................................7 - 7
7.7.3 Printing Ventilation Calculation Results ....................................................................................................................................7 - 7
7.7.4 Input Parameters for Ventilation Calculations ........................................................................................................................7 - 7
7.7.5 Calculated Parameters and Formulas for Ventilation Calculations .................................................................................7 - 8
7.8 Renal Calculations ...........................................................................................................................................................................................7 - 8
7.8.1 Performing Renal Calculations .....................................................................................................................................................7 - 8
7.8.2 Viewing Renal Calculation Results ..............................................................................................................................................7 - 8
7.8.3 Printing Renal Calculation Results ..............................................................................................................................................7 - 8
7.8.4 Calculated Parameters and Formulas for Renal Calculations ............................................................................................7 - 9
7.8.5 Calculated Parameters and Formulas for Renal Calculations ............................................................................................7 - 9
8 Paging ................................................................................................................................................................................ 8 - 1
9 Printing ............................................................................................................................................................................... 9 - 1
10 Recording .......................................................................................................................................................................10 - 1
5
10.2.2 Loading Paper for the TR6-F Recorder ................................................................................................................................. 10 - 4
10.3 Setting the Recorder ................................................................................................................................................................................. 10 - 4
10.4 Starting Recordings ................................................................................................................................................................................... 10 - 5
10.4.1 Manually Starting Recordings ................................................................................................................................................. 10 - 5
10.4.2 Automatically Starting Recordings ....................................................................................................................................... 10 - 5
10.5 Stopping Recordings ................................................................................................................................................................................ 10 - 6
10.5.1 Manually Stopping Recordings .............................................................................................................................................. 10 - 6
10.5.2 Automatically Stopping Recordings ..................................................................................................................................... 10 - 6
6
12.6.1 Accessing the Device Management Screen ....................................................................................................................... 12 - 9
12.6.2 Device Management Tab at the CentralStation ............................................................................................................... 12 - 9
12.6.3 Device Management Tab at the WorkStation/ViewStation .......................................................................................12 - 10
12.6.4 Setting the Bed List ...................................................................................................................................................................12 - 11
12.7 Review Tab .................................................................................................................................................................................................12 - 12
12.7.1 Accessing the Review Setup Page .......................................................................................................................................12 - 12
12.7.2 Setting Trend Groups ...............................................................................................................................................................12 - 12
12.7.3 Setting Full Disclosure .............................................................................................................................................................12 - 13
12.7.4 Setting Events .............................................................................................................................................................................12 - 13
12.7.5 Setting Arrhythmia Mark Colors ...........................................................................................................................................12 - 13
12.7.6 Setting Patient Data Export ....................................................................................................................................................12 - 13
12.8 Telemetry Tab ...........................................................................................................................................................................................12 - 13
12.8.1 Accessing the Telemetry Setup Page .................................................................................................................................12 - 14
12.8.2 Setting Alarm Properties for Telemetry Devices ............................................................................................................12 - 14
12.8.3 Setting ECG Related Items for Telemetry Devices .........................................................................................................12 - 14
12.8.4 Setting Nurse Call Properties .................................................................................................................................................12 - 15
12.8.5 Frequency Setup ........................................................................................................................................................................12 - 15
12.8.6 Programming Telepack-608 Telepacks .............................................................................................................................12 - 16
12.8.7 WMTS Device ...............................................................................................................................................................................12 - 17
12.9 Network Tab ...............................................................................................................................................................................................12 - 17
12.9.1 Accessing the Network Setup Page ....................................................................................................................................12 - 17
12.9.2 Setting General Communication Conditions ..................................................................................................................12 - 17
12.9.3 Setting the Master Server .......................................................................................................................................................12 - 18
12.9.4 Configuring eGateway .............................................................................................................................................................12 - 18
12.9.5 Setting CentralStation Authorization .................................................................................................................................12 - 20
12.9.6 Setting CentralStation Connection .....................................................................................................................................12 - 20
12.9.7 Setting Bed Authorization ......................................................................................................................................................12 - 20
12.9.8 Setting the AP Management Tab .........................................................................................................................................12 - 21
12.9.9 MLDAP ...........................................................................................................................................................................................12 - 21
12.9.10 Installing and Setting Mobile Server ................................................................................................................................12 - 22
12.10 Print Tab ....................................................................................................................................................................................................12 - 22
12.10.1 Accessing the Print Setup Page .........................................................................................................................................12 - 22
12.10.2 Setting a Printer .......................................................................................................................................................................12 - 22
12.10.3 Setting Scheduled Reports ..................................................................................................................................................12 - 23
12.10.4 Setting End Case Reports .....................................................................................................................................................12 - 23
12.10.5 Setting Report Layout ............................................................................................................................................................12 - 23
12.10.6 Setting ECG Reports ...............................................................................................................................................................12 - 23
12.10.7 Setting PDF File Name ...........................................................................................................................................................12 - 23
12.10.8 Setting the Recorder ..............................................................................................................................................................12 - 24
12.10.9 Setting Other Print-Related Items .....................................................................................................................................12 - 24
12.11 Configuration Tab .................................................................................................................................................................................12 - 24
12.11.1 Accessing the Configuration Setup Page .......................................................................................................................12 - 24
12.11.2 Setting Telemetry Configurations .....................................................................................................................................12 - 25
12.11.3 Setting Department Configurations .................................................................................................................................12 - 25
12.11.4 Setting the Department List ................................................................................................................................................12 - 25
12.11.5 Setting Assignment between Telemetry Devices and Departments ...................................................................12 - 25
12.11.6 Printing, Backing Up, and Restoring All Settings .........................................................................................................12 - 26
12.12 Other Tab ..................................................................................................................................................................................................12 - 26
12.12.1 Accessing the Other Setup Page .......................................................................................................................................12 - 26
7
12.12.2 Setting Units ..............................................................................................................................................................................12 - 26
12.12.3 Setting Units for Integrated Devices ................................................................................................................................12 - 26
12.12.4 Configuring Module ...............................................................................................................................................................12 - 27
12.12.5 Setting Time ..............................................................................................................................................................................12 - 27
12.12.6 Setting Authorization Setup ................................................................................................................................................12 - 28
12.12.7 Setting Language ....................................................................................................................................................................12 - 29
12.12.8 Setting A Device Location ....................................................................................................................................................12 - 29
12.12.9 Defining the Night Time .......................................................................................................................................................12 - 30
12.12.10 Exporting Logs .......................................................................................................................................................................12 - 30
12.13 Factory Maintenance Tab ...................................................................................................................................................................12 - 30
12.14 Configuring CentralStation’s System Settings via the WorkStation ...................................................................................12 - 30
13 Maintenance ..................................................................................................................................................................13 - 1
8
D Units, Symbols and Abbreviations ................................................................................................................................. D - 1
9
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10
1 Safety
WARNING
• Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious
injury.
CAUTION
• Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal
injury or product/property damage.
NOTE
• Provides application tips or other useful information to ensure that you get the most from your
product.
1.1.1 Warnings
WARNING
• The CMS is intended for use only by clinical professionals or under their guidance. It must only be
used by persons who have received adequate training in its use. Anyone unauthorized or untrained
must not perform any operation on it.
• The physiological waveforms, parameters and alarms displayed on the CMS screen are for clinician’s
reference only and cannot be directly used as the basis for clinical treatment. Before giving invasive
treatment to a patient, you must go to the corresponding monitoring devices to confirm the results
you have obtained from the CMS.
• If any value displayed on the CMS screen is abnormal or questionable, first determine the patient’s
vital signs by alternative means and then verify that the CMS and the monitoring devices connected
to the CMS are working properly.
• The CMS is a clinical information device. Except for using such components as the mouse,
touchscreen and keyboard to perform normal operations, do not touch or disassemble any other
component, especially the power component; otherwise, it may result in personnel injury.
• The computer running the CMS software must comply with local relevant regulations. The CMS is
intended to connect with Mindray monitoring devices only. Connecting devices made by other
manufacturers may cause the values displayed on the CMS to be inaccurate.
• The CMS can be constructed using a wireless local area network (WLAN) for connecting patient
monitors. When data is transmitted via radio frequency (RF) signals, it may impact the performance
of other WLANs in the environment or the use of other RF equipment. Therefore, the wireless RF
equipment must comply with CE, FCC and other local relevant standards and regulations.
1-1
WARNING
• When the CMS is transmitting data via a WLAN, loss of patient data may occur due to interference
from other RF sources.
• The CMS software copyright is solely owned by Mindray. No organization or individual shall resort
to altering, copying, or exchanging it or to any other infringement on it in any form or by any means
without due permission.
• Data communication must be performed within a closed network or within a virtually isolated
network provided by a hospital for all network functions. The hospital is responsible for ensuring
the security of the virtually isolated network.
• If an external audio device is connected to the CMS, do not turn off the external audio device nor
adjust the volume to zero.
• Do not block the speaker of the CMS.
• Do not rely exclusively on audible alarm system. Setting alarm volume to a low level may result in a
hazard to the patient.
• PACEMAKER PATIENTS – On ventricular paced patients, episodes of Ventricular Tachycardia may not
always be detected. Do not rely entirely upon the system’s automated arrhythmia detection
algorithm. Keep pacemaker patients under close surveillance.
• A hazard can exist if different alarm presets are used for the same or similar equipment in any single
area.
1.1.2 Cautions
CAUTION
• The service life of the CMS depends on its hardware. Rough treatment, dropping or collision should
be avoided in the operation on the keyboard, mouse and computer; otherwise, the service life of the
CMS may be shortened.
• Components of the CMS, such as the keyboard and mouse, may be contaminated by microorganisms
during transport, storage and use.
• Before removing components of the CMS from their packaging, the packaging should be inspected
for damage. In case of any damage, contact the carrier or Mindray immediately.
• All CMS equipment must utilize the Uninterruptible Power Supply (UPS) to power the CMS. Failure to
do so will result in loss of monitoring during extended periods of power failure.When there is a
power failure, the system should be shut down by following the specified shutdown procedure
before the UPS is turned off. If the system has a sudden power failure, system failure may occur and
consequently the system will not work correctly next time or may even have a serious result.
• Do not transport a CMS host or displays while they are running. Doing so may cause damage.
• System time should be set before the CMS is put into use. If the system time is changed when the
CMS is in use, it may result in patient data loss.
• The CMS is capable of connecting up to 32 monitoring devices. The cable connecting the CMS to the
switch or exchange will not exceed 100 m; otherwise, it may result in network overload or weak
network signals and consequently errors will occur during data transmission or displaying.
• The CMS should be connected to the network utilizing a network designed according to the
installation guide.
• Restart the CMS every three months. Long time operation of the system may lead to a failure of the
operating system.
• The CMS should be installed only using Mindray provided Microsoft Windows operating system,
service packs, and patches. Use of unauthorized software may lead to abnormal system operation or
failure.
• Do not install any third party applications not approved by Mindray or utilize the CMS host for any
other purpose.
1-2
CAUTION
• Using the “Show Desktop” feature in Windows is prohibited. Installing or using any other software
not provided by Mindray is prohibited. Software that has not been tested or verified by Mindray
may cause the instability of the system. Mindray assumes no responsibility for this.
• When printing data through an external printer, be sure to follow the printer’s instructions. In case
any problem occurs during printing, consult the printer’s instructions.
• At the end of its service life, the CMS must be disposed of in compliance with the guidelines
regulating the disposal of such products. If you have any questions concerning disposal of the
equipment, please contact Mindray.
• Before connecting any storage device to the CMS, ensure that this storage device is free of viruses.
After the use of the storage device, verify that there are no viruses in the CMS. Otherwise, the CMS
cannot work properly if it is infected with viruses.
1.1.3 Notes
NOTE
• This manual describes all features and options. Your equipment may not have all of them.
• Keep this manual in the vicinity of the CMS so that it can be obtained conveniently when needed.
• During normal use, the operator is expected to face the front of the equipment.
• All the CMS host, parts, or accessories should be from Mindray or acknowledged by Mindray.
1-3
Symbol Description Symbol Description
This product bears CE mark indicating its conformity with the provisions of the Council Directive 93/42/EEC
concerning medical devices and fulfills the essential requirements of Annex I of this directive.
Note: The product complies with the Council Directive 2011/65/EU.
The following definition of the WEEE label applies to EU member states only.
This symbol indicates that this product should not be treated as household waste. By ensuring that this
product is disposed of correctly, you will help prevent bringing potential negative consequences to the
environment and human health. For more detailed information with regard to returning and recycling this
product, please consult the distributor from whom you purchased it.
* For system products, this label may be attached to the main unit only.
1-4
2 System Overview
WARNING
• The CMS is intended for use by qualified physicians or well-trained clinicians. Anyone unauthorized
or untrained must not perform any operation on it.
• The physiological waveforms, parameters and alarms displayed on the screen of the CMS are for
reference only and cannot be directly used as the basis for clinical treatment.
• If any value displayed on the CMS screen is abnormal or questionable, first determine the patient’s
vital signs by alternative means and then verify that the CMS and monitoring devices are working
properly.
2.2 Contraindications
None
2-1
2.3 System Components
The CMS mainly consists of the following components:
■ CentralStation
■ ViewStation (optional)
■ WorkStation (optional)
■ Central Monitoring System Viewer (hereinafter referred to as the CMS Viewer) (optional)
■ Computer platform
■ License
■ Network devices (optional)
■ Remote display and data transmission device (optional)
■ Recorder (optional)
■ Printer (optional)
CMS Viewer
Network device
Printer
CentralStation WorkStation ViewStation
Recorder
2.3.1 CentralStation
The CentralStation can admit Mindray physiological monitoring devices via wired or wireless connection. It can
display, store, print, and review the patient clinical data derived from compatible monitoring devices.
Depending on the running environment setting chosen at installation of the CentralStation, the CentralStation
can run as application or as a service. Major differences between these two are described below:
■ Running as application: the CentralStation can connect up to 32 monitoring devices. You can view
information such as data and alarms of connected monitoring devices on the CentralStation’s screen. You
can also view or modify settings such as parameter settings and system settings directly via the
CentralStation.
■ Running as a service: the CentralStation can connect up to 128 monitoring devices. You cannot view
information such as data and alarms of connected monitoring devices on the CentralStation’s screen. But
you can view these pieces of information on the screen of the WorkStation which is connected to the
CentralStation. If you wish to change system settings of the CentralStation, you need to perform the
changes at the WorkStation. For information regarding how to perform these changes, see Section
12.14 Configuring CentralStation’s System Settings via the WorkStation.
2-2
2.3.2 WorkStation
The WorkStation can display and manage patient data with monitoring devices assigned from the host
CentralStation (the host CentralStation refers to the CentralStation which the WorkStation, the ViewStation, or
the CMS Viewer is connected to). All the patient data comes from the CentralStation.
You can enter or modify patient demographic information, configure alarm limits, alarm priorities, and discharge
patients at the WorkStation based on the granted permissions.
2.3.3 ViewStation
The ViewStation can display patient data with monitoring devices assigned from the host CentralStation. All the
patient data comes from the CentralStation. You can view patient data at the ViewStation only.
2.3.5.1 Display
Each of the CentralStation, the WorkStation, and the ViewStation can be equipped with up to four external
displays. For display specifications, see Appendix A Technical Specifications in this manual.
If you are using a touchscreen display, you can select any selectable screen object by tapping the object.
NOTE
• Displaying right click menus is not supported by the touchscreen.
• Do not use any sharp objects such as pencils to tap the screen.
2.3.5.3 Mouse
The mouse can be used to select a screen element by moving the cursor on the element and then clicking on it.
NOTE
• Clicking refers to positioning the mouse pointer on a selection and pressing the left mouse button
once.
2.3.5.4 Keyboard
A keyboard is used to type text into a data entry field.
2.3.6 License
A license is a prerequisite for using the CMS. It offers the following capabilities:
2-3
■ Provide copyright protection for the CMS software.
■ Configure functionalities.
NOTE
• Do not exchange licenses among different CMS systems.
NOTE
• If your license is lost, please contact Mindray service personnel.
2.3.9 Recorder
The CMS can be equipped with a thermal recorder. The thermal recorder records patient information,
measurement numerics and waveforms. The thermal recorder has a separate power supply. It can be connected
to the CMS via a RS232 interface. For more information, see Chapter 10 Recording.
2.3.10 Printer
The CMS can be equipped with a printer to output various reports. The printer has a separate power supply. For
more information, see 9 Printing.
2-4
Mobile
Mobile Server CMS Viewer
Viewer
Hospital Network
Router eGateway
CMS Network
Bedside Device
Network
2-5
◆ Spectrum/Spectrum OR patient monitors
◆ Endeavour V12/Endeavour V21 patient monitors
◆ Accutorr 7 patient monitor
■ Telemetry devices
◆ TMS-6016
◆ Panorama Telepack-608
◆ TMS60
◆ TM80
2-6
3 Getting Started
3.1 Overview
This chapter describes preparation before using the CMS and gives an overview of the CMS.
WARNING
• The CMS software copyright is solely owned by Mindray. No organization or individual shall resort
to altering, copying, or exchanging it or to any other infringement on it in any form or by any means
without due permission.
• Connect only approved devices to the CMS. 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 are
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.
• If it is not evident from the CMS specifications whether a particular combination with other devices
is hazardous, for example, due to summation of leakage currents, please consult the manufacturer
or an expert in the field. A determination must be made that the proposed combination will not
negatively affect the devices themselves or the patient's safety.
CAUTION
• The CMS should be installed by authorized Mindray personnel.
• Before unpacking, examine the packing case carefully for signs of damage. If any damage is
detected, contact the carrier or Mindray.
• Make sure that the CMS operating environment meets the specific requirements. Otherwise
unexpected consequences, e.g. damage to the equipment, could result.
• Components of the CMS, such as the keyboard and mouse, may be contaminated by microorganisms
during transport, storage and use. Before removing them from their packaging, the packaging
should be inspected for damage. In case of any damage, contact the carrier or Mindray immediately.
• When disposing of the packaging material, be sure to observe the applicable waste control
regulations and keep it out of children’s reach.
• Observance of this manual is a prerequisite for proper product performance and correct operation
and ensures patient and operator safety.
NOTE
• Never place the CMS within a patient environment.
• Do not block the displays of the CMS.
• Put the CMS in a location where you can easily view and operate the equipment.
• Keep this manual in the vicinity of the equipment so that it can be conveniently referenced when
needed.
• Save the packing case and packaging material as they can be used if the CMS must be reshipped.
3-1
To start the CMS system, follow this procedure:
1. Connect the power cord to an uninterruptible power supply (UPS).
2. Turn on the host to start the operating system and displays. The system will perform a series of self-tests.
◆ If the self-tests pass, the system will beep one time and enter the multibed screen immediately.
◆ If the self-tests fail, an error message is displayed. In this case, consult the manual provided with the
computer for assistance or contact Mindray.
CAUTION
• To prevent damaging the system from a sudden power failure, it is recommended that your CMS is
equipped with a UPS.
(8)
(1) System menu area: selecting this area opens the drop-down list where you can select different functions.
(2) Hospital information area/system alarm area: when system level alarms are not triggered, this area displays the
hospital name and department where the CMS is located. If you need to change the hospital name or
department, see Section 12.12.8 Setting A Device Location.
When system level alarms are triggered, this area displays the highest priority alarm message. Selecting this area
opens the list of currently triggered system alarm messages. You can also review the system alarm messages in
the alarm list area. For information on system alarm messages, see Section B.2 Alarm Messages in the System
Alarm Area.
(3) Alarm list area: selecting this area opens the alarm list that includes physiological and technical alarms within
one hour for all the beds being monitored by the CMS.
(4) Patient Summary: selecting this area opens the Patient Summary window where you can view and select
patients that requires special attention. For more information on this window, see Section.
(5) Print button: selecting this button displays print related menus. For more information on these menus, see
Chapter 9 Printing.
3-2
(6) Trend data or waveform data export queue symbol: selecting this symbol opens the Export Setup menu. In this
menu, you can view export tasks in the Name column and view export progress and results in the Status
column. Upon successful export, the task disappears from the task list.
Selecting Retry Failed Export at the bottom of the menu re-exports failed items. Selecting Remove Failed
Export removes all the export failure items from the task list.
Note: the export symbol is displayed only when Save As is enabled in the system menu. For more information
on enabling Save As, see Section 12.7.6 Setting Patient Data Export. For more information on the status of export
symbol, see Section 3.4.2 Symbols on the Multibed Screen. For information on exporting patients’ trend data or
waveform data, see Sections 6.6.4 Exporting Trend Data, 6.7.4 Exporting Trend Data, and 6.9 Events Review Page.
(8) Patient sector: displays real-time monitoring data. One patient sector displays data from one patient only. For
more information, see Section 3.4.3 Patient Sector Status.
Indicate the Wi-Fi signal strength after a Indicate the received signal strength of
monitoring device is connected to an AP. telemetry devices.
More white arcs indicate a stronger Wi-Fi The color of the symbol changes to indicate
signal strength. received signal strength changes.
■ White: indicates the received signal
strength is normal.
■ Yellow: indicates the received signal
strength is weak.
■ Red: indicates no signal is received.
Current patient sector is idle and can admit a Contain more than one alarm messages.
monitoring device.
Selecting this symbol enters the ViewBed Indicate that the monitoring device is from a
screen. remote CentralStation.
All the alarms are paused. Alarms for some parameter are turned off or
the monitoring device is in the alarm off state.
3-3
Symbol Description Symbol Description
Selecting this symbol releases the system from Selecting this symbol silences the system.
silenced state.
Selecting this symbol opens the Export Setup Indicate that there are a total of five export
menu. For more information on this menu, see tasks that are in progress or waiting to be
Section 3.4.1 Example Multibed Screen. started. The number in the green circle in the
upper right corner changes with the number
of export tasks.
■ When there are less than five tasks, the
number of actual export tasks is
displayed.
■ When there are more than five tasks,
ellipsis dots are displayed.
A patient’s pacing status is set to Yes. The pace A patient’s pacing status is set to No.
pulse markers “|” are shown on the ECG wave
when a pacer pulse is detected.
This is the nurse call symbol. The battery has sufficient power. The white
■ After the nurse call button is pressed on grid indicates the remaining battery power.
a monitoring device, this symbol will
continuously flash in the waveform area
and a corresponding prompt tone will
sound. This prompt tone will
automatically terminate after two beeps.
■ Selecting this symbol clears this symbol
and stops the prompt tone.
■ The nurse call will be stored on the event
review page.
The battery has low charge and needs to be The battery has critically low charge and needs
charged or changed. to be charged or changed immediately.
Otherwise, the monitoring device will shut
down.
3-4
NOTE
• When a battery symbol listed in the table above is displayed, see appropriate monitoring device’s
operator’s manuals for details about the battery time and alarms.
(7)
(6) (5)
(1) Bed number and room number area: displays the bed number and room number. You can also assign a patient
to a care group. After selecting a care group, the bed number and room number area is filled with the
background color selected for Care Group on the patient management screen. For more information, see
Section 3.4.4.1 Bed Number and Room Number Area.
(2) Patient information area: it can be set to display patient name or patient ID. For details on how to perform this
setting, see Section 12.5.8 Setting Other Patient Information Items.You can also assign a patient to a patient
group. After selecting a patient group, the starting portion of the patient information area is filled with the color
selected for Patient Group on the patient management screen. Selecting this area enters the patient
management screen.
(3) Alarm status symbol: indicates current alarm status. For more information, see Section 3.4.2 Symbols on the
Multibed Screen.
(4) Alarm information area: displays the highest priority alarms. This area can be divided into the technical alarm
information area and physiological alarm information area when there is sufficient space to display the patient
sector. The technical alarm information area is displayed on the left side of the alarm information area. The
physiological alarm information area is displayed on the right side of alarm information area. The ellipsis symbol
“...” indicates that there are more than one alarm message.
3-5
(5) Parameter area: displays parameter numerics transmitted from a monitoring device. Selecting this area enters
the ViewBed screen. If the function of outline font for suspected values is enabled in the System Setup menu,
when unreliable measurement values of HR, SpO2, or BIS are detected, these numerics are displayed in outline
font.
(6) Waveform area: displays waveforms transmitted from a monitoring device. When one or all lethal arrhythmia
alarms are set to off, a corresponding message is displayed under the first ECG waveform. When the nurse call
and/or event function of a telemetry device is switched off, a corresponding message is displayed under the first
ECG waveform. Selecting this area enters the ViewBed screen.
(7) Status information area: displays information such as notes, device signal, device name, device location,
operating mode, and battery power. For description of symbols, see Section 3.4.2 Symbols on the Multibed Screen.
NOTE
• Contents displayed in a patient sector are subject to the number of patient sectors. The less the
number of patient sectors, the more contents displayed in a patient sector. For details on how to set
the number of patient sectors, see Section12.3.3.3 Setting the Number of Patient Sectors.
Use Telemetry When a patient monitor has been connected with a telemetry device at the
CentralStation or WorkStation, the option Use Telemetry or Use Host
Use Host Monitor Monitor is displayed.
If you wish to view patient data monitored by a telemetry device or a patient
monitor, select Use Telemetry or Use Host Monitor respectively. Then
select OK in the Select Device dialog box.
For more information on connecting a patient monitor with a telemetry
device, see Section 4.5 Connecting a Patient Monitor with a Telemetry Device.
Move Position to Move a patient sector from the source patient sector to the target patient
sector on the multibed screen. The source patient sector and the target
patient sector swap positions.For locked patient sectors, whether this option
is displayed is dependent on the system setup. For more details about
system setup, see Section 12.3.4 Setting Sectors.
Reset alarms. For more information, see Section 5.8 Alarm Reset.
Pause alarms. For more information, see Section 5.5.9 Setting Alarm
Properties for External Devices.
Standby mode. For more information, see Section 3.6.1 Standby Mode.
Clear Overview Bed Clear the patient sector. This function is used for clearing a patient sector
where a monitoring device from a remote CentralStation is displayed. For
details, see Section 11.4 Clearing an Overview Bed.
3-6
■ Yellow background indicates medium priority alarms.
■ Cyan background indicates low priority alarms.
You can set whether to let the background color of high priority and medium priority alarm messages flash. For
details on how to perform this setting, see Section 12.4.4 Configuring Other Alarm-Related Items.
NOTE
• The list of parameters/waveforms under the drop-down list in the Tile Layout tab is the super set,
not depending on a monitoring device. If a parameter/waveform is not supported by the monitoring
device, it is not displayed in the patient sector.
• Changing the screen settings affects the patient sector only and does not affect the screen settings
for the ViewBed screen.
• Changes to the screen settings are only a temporary change. Once a patient is discharged from this
patient sector, the screen settings configured will be cleared and the default department
configurations will be automatically loaded to the patient sector.
NOTE
• The Sector Sorting option is available only when Sort Type is set to Manual in the System Setup
Menu.
NOTE
• When the CMS is equipped with one 19-inch display only, the patient summary function is not
supported.
3-7
3.4.6.1 Example Patient Summary Window
The Patient Summary window displays overview information of four patients. You can view the information of
more patients by moving the cursor or the touchscreen.
This figure takes overview information of a single patient for example.
(1)
(2)
(1) Trend data area: displays the trend data of HR, SpO2/SpO2b, RR, and NIBP/IBP within the selected Zoom option.
When a patient monitor supports Early Warning Scores (EWS), the trend data of EWS scores is also displayed.
Selecting the trend data area enters the graphic trends review page. For more information about this review
page, see Section 6.7 Graphics Trends Review Page.
(2) Alarm statistics area: displays physiological alarm information such as alarm trigger time, times of alarms, or
alarm duration within the selected Zoom option.
3-8
NOTE
• When the CMS is equipped with one display only, the ViewBed screen is displayed in the lower half
of the screen or on the right of the screen depending on the display size.
NOTE
• When the CMS is equipped with more than one display, the ViewBed screen can be displayed on a
dedicated secondary display. For details on how to set the secondary display, see Section 12.3.3.4
Setting the Number of Primary Screens.
(9)
(8)
(5)
(7)
(6)
Figure 3-4 Example ViewBed Screen
(1) Patient location information area: displays the bed number and room number.
(2) Technical alarm information area: displays the highest priority technical alarm.
(3) Physiological alarm information area: displays the highest priority physiological alarm.
(4) Alarm status symbol: indicates current alarm status. For more information, see Section 3.4.2 Symbols on the
Multibed Screen.
(5) Parameter area: displays items such as parameter values, alarm limits, alarm status, and parameter list.
■ Selecting a parameter numeric block enters corresponding parameter menu.
■ Selecting the parameter list enters tabular trends review page. For information regarding the parameter
list, refer to Section 3.5.4 Displaying the Parameter List.
■ When a parameter alarm is turned off, the symbol is displayed in corresponding parameter area.
■ If the function of outline font for suspected values is enabled in the System Setup menu, when unreliable
measurement values of HR, SpO2, or BIS are detected, these numerics are displayed in outline font.
(6) Quick key area: displays quick keys to access commonly used functions (keys are configurable).
3-9
(8) Waveform area: displays parameter waveforms. Selecting a waveform enters corresponding parameter menu.
(9) Patient category symbol: displays current patient category. For more information, see Section 3.4.2 Symbols on
the Multibed Screen.
NOTE
• The display layout of the CMS may not match that of a monitoring device. But the parameters/
waveforms displayed on the CMS are consistent with that on the monitoring device.
• If you change the display layout of parameters/waveforms on the monitoring device, the display
layout of parameters/waveforms on the CMS will not change automatically and vice versa.
• When a module of a monitoring device is turned off, the waveform and numeric data for this module
will be no longer displayed at the CMS.
• When a parameter is no longer being monitored, the waveform and numeric data for this parameter
will be no longer displayed at the CMS.
4. Select a parameter area or waveform area, and then from the drop-down list select an element you want to
display in this area. The selected parameters and waveforms are displayed on the ViewBed screen. The
symbol indicates that this area can be set to display waveforms. Selecting this area changes this
symbol to , indicating that this area can be set to display parameters.
NOTE
• The list of parameters/waveforms under the drop-down list in the Tile Layout tab is the super set,
not depending on a monitoring device. If a parameter/waveform is not supported by the monitoring
device, it is not displayed on the ViewBed screen.
• Changing the ViewBed screen settings affects the ViewBed screen only and does not affect the
screen settings for the patient sector.
• Changes to the screen settings are only a temporary change. Once a patient is discharged, the screen
settings configured will be cleared and the default department configurations will be automatically
loaded to the ViewBed screen.
3 - 10
4. From the drop-down list, select Parameter List.
More Show more quick keys Screen Setup Enter the Screen Setup
menu
Alarm Setup Enter the Alarm menu Alarm Reset Acknowledge the ongoing
alarms
Alarm Pause Pause the ongoing alarms Main Screen Return to the multibed
screen
ECG Full- Enter the ECG full screen Freeze Freeze waveforms
Screen
Load Config Enter the Load Config Minitrends Enter the Minitrends
menu window
Print Start printing a real-time Print Setup Enter the Print Setup
report menu
Privacy Mode Enter privacy mode Night Mode Enter night mode
ECG 24h Sum View the 24-hour ECG Parameters Enter the Parameters
summary. Setup Setup menu
Discharge Enter the Discharge Manual Event Manually trigger and save
Patient Patients dialog box. an event.
3 - 11
Symbol Label Function Symbol Label Function
ECG 24h Sum View the 24-hour ECG Audio Pause Pause alarm tone
summary.
3 - 12
3.5.6.2 Configuring SpO2 Statistics
To configure SpO2 statistics, follow this procedure:
1. In the upper right corner of the SpO2 statistics area, select the time area, i.e. 1 h.
2. Select the desired option.
3. Access the SpO2 Statistics menu in either of the following ways:
◆ Select the SpO2 statistics area.
◆ On the ViewBed screen, select the SpO2 parameter or waveform area → select the SpO2 Statistics
tab.
4. In the From and To columns, select the starting and ending SpO2 values for each section.
5. In the Target column, select the target section.
6. If you wish to use the default values, select Defaults.
NOTE
• The values for sections should be continuous. When the section value reaches 100, you cannot
configure remaining sections.
WARNING
• Before starting an NIBP measurement, make sure that the patient category on the bedside monitor
is correct and the NIBP cuff size is appropriate for this patient.
3 - 13
3.5.8.2 Unfreezing Waveforms
To unfreeze waveforms, select the button in the upper right corner of the Freeze window.
3 - 14
3.5.11.2 Example Minitrends Window
The example minitrends window is as shown in Figure 3-5.
(5)
(1)
(6)
(7)
(8)
(1) Scale
(2) Routine Vital/Baseline button: If the department is set to OR, the Baseline button is displayed.
(3) Setup button: select this button to configure the minitrends window.
(4) Aldrete Score button: this button is displayed only when the Adrete score functionality is supported by patient
monitors.
(5) Routine Vital/Baseline: numerics in the square frames on the left side of this line refer to the values when routine
vital/baseline is marked.
NOTE
• Only when a patient monitor supports the Routine Vital/ Baseline function can you perform
operations related to routine vital or baseline at the CMS.
3 - 15
3.5.11.5 Setting the Alarm Statistics Switch
The Minitrends window can be configured to display the statistic number and duration of physiological alarms
in its lower half window.
To set the alarm statistics switch, follow this procedure:
1. Enter the Minitrends window.
2. Select the Setup button.
3. Enable or disable Alarm Statistics.
NOTE
• You can perform operations related to routine vital or baseline either via the CMS or via the patient
monitor. Any changes made at one side will be synchronized to the other side to ensure consistency
WARNING
• The Aldrete score and recommendation is for reference only. Clinicians must make the decision of
discharging the patient from recovery according to the patient’s actual condition.
3 - 16
3.5.11.9 Exiting the Minitrends Window
To exit the Minitrends window, follow this procedure:
1. On the ViewBed screen, select the Screen Setup quick key.
2. Select the desired screen mode.
WARNING
• The EWS scores and recommended actions are for reference only and cannot be directly used for
diagnostic interpretation.
• EWS cannot be used as an prognosis index. It is not a clinical judgement tool. Clinicians must use
their clinical judgement in conjunction with the EWS tool at all times.
• MEWS and NEWS are not applicable to pregnant woman, COPD (Chronic Obstructive Pulmonary
Disease) patients and patients under 16 years old. NEWS2 is not applicable to pregnant woman, and
patients under 16 years old.
3 - 17
NOTE
• The EWS parameter area can be also displayed in a patient sector on the multibed screen. For how to
display EWS parameter area, see Section 3.4.4.3 Changing the Screen Setup for Patient Sector.
(8) (7)
(1) (6)
(2)
(3)
(4) (5)
(2) Total score. The color of the circle indicates the level of risk. For IPS, no score is displayed. Only level of risk is shown:
white means normal and red indicates alert by default.
(4) Latest history total score: up to five groups of history scores can be displayed on the screen.
(5) Risk level indicator. The level of risk increases from top down. The current level is enclosed by a white square frame.
For IPS, this indicator does not display.
3 - 18
(4) (5) (6)(7)
(1) (8)
(2) (9)
(3)
(10)
(11)
(12)
(1) Total score. The color of the circle indicates the level of risk. For IPS, no numeric score is displayed. Only level of risk
is shown: white means normal and red indicates alert by default.
(2) Risk level indicator. The level of risk increases from top down. The current level is enclosed by a white frame. For
IPS, this indicator does not display.
(3) Parameter area: display the subscore and parameter value of each parameter. The keyboard symbol indicates that
the parameter value is manually entered.
(8) Select this button to view the clinical response for current score
(9) Operator ID (displays only when the operator ID is selected on the monitor’s side)
(10) Select this button to view the trend data of parameters participating in scoring and the alarm statistics area.
■ The alarm statistics area displays physiological alarms within the most recent 24 hours.
■ Selecting alarm messages in the alarm statistics area accesses the event review page where you can view the
alarm details. For information regarding the event review page, see Section 6.9 Events Review Page.
3 - 19
3.5.12.5 Confirming/Canceling Scoring Results
If Scoring Confirmation is enabled at the patient monitor, when scoring calculation is completed, you can
select Confirm or Cancel to save or discard current scoring results.
NOTE
• You can confirm or cancel scoring results either via the CMS or via the patient monitor. Any changes
made at one side will be synchronized to the other side to ensure consistency.
NOTE
• The ECG 24h Summary is intended for the current patient. It is not intended for discharged patients.
• Pacer statistics is intended for paced patients.
• Patient data is saved, collected and displayed together in the ECG 24h Summary. Data displayed in
the ECG 24h Summary is not recalculated.
• A license is required for the ECG 24h Summary function.
3 - 20
Asystole
High Priority
VͲFib/VͲTach
Extreme Tachy/
Extreme Brady
Beat Detection
PVC Alarm Chain Rate Alarm Chain AͲFib Alarm Chain
Alarm Chain
Medium Priority
HR Low Irr.Rhythm End
Bigeminy
Trigeminy
PVCs/min
Multiform PVC
PVC
NOTE
• For the following alarms, alarm light and alarm tone cannot be disabled: HR high, HR low,
Tachycardia, Bradycardia, Afib End, Irr. Rhythm End.
NOTE
• The timeout period is only applicable to the alarms in the medium priority chains and atrial
fibrillation chain. For the alarms in the high priority chain, alarm tone and alarm light are presented
as soon as the alarm condition is detected.
• Alarm indication rules for alarms in the atrial fibrillation chain are the same with those for the
medium priority chains.
Alarm in high priority Alarm in high priority chain Alarm light and alarm tone
chain
Alarm in medium priority chain During timeout period, alarm light and alarm tone
are disabled. When the timeout period is reached,
alarm light and alarm tone are reactivated.
3 - 21
Previous alarm Current alarm Alarm indication
Alarm in medium Alarm in high priority chain Alarm light and alarm tone
priority chain
Alarm in the same medium priority Alarm light and alarm tone
chain, but with higher priority
The same alarm reoccurs During timeout period, alarm light and alarm tone
are disabled. When the timeout period is reached,
alarm light and alarm tone are reactivated.
Alarm in the same medium priority During timeout period, alarm light and alarm tone
chain, but with lower priority are disabled. When the timeout period is reached,
alarm light and alarm tone are reactivated.
Alarm in other medium priority chain Alarm light and alarm tone
NOTE
• For the TM80 telemetry monitor, you can put them into or out of standby mode via the TM80 only
• For TMS-6016 and Panorama Telepack-608, you can put them into or out of standby mode via the
CMS only.
• For the TMS60 telemetry monitoring system, you can put them into or out of standby mode via the
TD60 telemetry transmitter only.
NOTE
• Options for Location are configurable. For more information, see Section 12.5.5 Setting Patient
Location.
3 - 22
3.6.1.3 Exiting Standby Mode
To exit standby mode, use one of the following ways:
■ Select the bed number and room number area in the upper left corner of the desired patient sector on
the multibed screen → from the drop-down list select the symbol.
■ Select Resume Monitor in the Standby window.
NOTE
• A bedside monitor must be connected to the CMS to be allowed to enter night mode. When a
bedside monitor in night mode is disconnected from the CMS, it will automatically exit night mode.
3 - 23
1. Enter privacy mode dialog in either of the following ways:
◆ Select the bed number and room number area in the upper left corner of the desired patient
sector on the multibed screen → from the drop-down list select Privacy Mode.
◆ On the ViewBed screen, select the Privacy Mode quick key.
2. Select whether to put current bedside monitor or all the bedside monitors into privacy mode.
3. Select OK. The bedside monitors selected enter privacy mode. The symbol is displayed in the upper
right corner of the patient sectors for these bedside monitors.
WARNING
•
.
In privacy mode, all audible alarms are suppressed and the alarm light is deactivated at the bedside
monitor. Alarms are presented only at the CMS.
NOTE
• If the bedside monitor is connected to the CMS, it automatically exits privacy mode when
disconnected from the CMS.
3 - 24
◆ If patients are still being monitored, the message N patients are being monitored. Are you sure you
want to shut down? (where N stands for the number of patients) is displayed. Select OK.
3. Enter the shutdown password in the Shutdown dialog and select OK. The password is the same as that for
accessing system setup tabs. Then, the CMS and the operating system will automatically shut down.
3 - 25
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3 - 26
4 Patient Management
4-1
from the CentralStation. Selecting the symbol admits this device to the current CentralStation.
Selecting the symbol displays information such as the device model. Clicking the heading of any
column or selecting the button sorts this column in ascending or descending order. Selecting the
button refreshes the monitoring device list.
■ When the device assignment screen is accessed via the System Setup menu, you can change the binding
relation between a monitoring device and a patient sector. For example, when a monitoring device symbol
is displayed as on the left side of the screen, selecting it again changes this symbol to . It indicates
that this monitoring device is not bound with a patient sector on the multibed screen.
To manually admit monitoring devices, follow this procedure:
1. Access the device assignment screen in either of the following ways
◆ Select a patient sector with the symbol on the multibed screen.
◆ Select the system menu area in the upper left corner of the main screen→ from the drop-
down list select Device Assignment.
2. Select the button in the upper right corner of the screen.
3. From the drop-down list, select the desired department.
◆ Local: displays monitoring devices in the local CentralStation.
◆ Department where a remote CentralStation is located: displays monitoring devices from the remote
CentralStation. If you wish to overview a bed that is currently being monitored by a remote
CentralStation, you can select the desired department. For details on viewing other patients, see
Section 11.3 Viewing Other Patients.
NOTE
• Within the LAN, a monitoring device can be admitted to any CentralStation, but can be admitted by
one CentralStation only.
• For details on how to admit monitoring devices in the System Setup menu, see Section 12.6.2.3
Manually Admitting Monitoring Devices on the Device Assignment Screen.
NOTE
• The WorkStation and the ViewStation must be connected to the host CentralStation and have bed
authorization before they can admit a monitoring device from the host CentralStation. For
information regarding connecting the host CentralStation and granting bed authorization, see
Section 12.9.6 Setting CentralStation Connection and 12.9.7 Setting Bed Authorization.
4-2
4.4 Assigning an Overview Bed to a Patient Sector
An overview bed refers to the bed that is currently being monitored by a remote CentralStation. You can assign
an overview bed to a patient sector on the local CentralStation/WorkStation/ViewStation. For details on how to
assign an overview bed, see Section11.3 Viewing Other Patients.
4-3
4.7 Patient Information Management
You can enter patient information, edit patient information, and search a patient.
NOTE
• The ADT tab is available only when the ADT feature is enabled in the system setup. For details on
how to enable this feature, see Section 12.9.4.1 Installing and Setting eGateway.
• Loading patient information from the hospital information system updates only patient information
in the monitoring device. The patient’s monitoring data is not changed and the patient is not
discharged.
4-4
4.7.1.3 Manually Entering Patient Information
To manually enter patient information, follow this procedure:
1. On the patient management screen, enter or select the desired patient information fields. Only fields that
may need special remarks are described here.
◆ Patient Category: set the patient category corresponding to the patient being monitored.
◆ Paced: set the patient’s paced status. For paced patients, you must set Paced to Yes. If it is incorrectly
set to No, the monitoring device could mistake a pace pulse for a QRS and fail to alarm when the ECG
signal is too weak. Always keep pacermaker patients under close surveillance.
◆ Care Group: after assigning a patient to a care group, the bed number and room number area in the
upper left corner of the patient sector on the multibed screen is filled with the selected care group
color. This allows a caregiver to quickly identify beds for which they are responsible. For details on
how to customize the care group, see Section 12.5.7 Setting Care Groups.
◆ Patient Group: after assigning a patient to a patient group, the starting portion of the patient
information area on the multibed screen is filled with the selected patient group color. This allows you
to quickly identify patient types. For details on how to customize the patient group, see Section 12.5.6
Setting Patient Group.
◆ Notes: you can enter additional information. The text entered is displayed in the notes area in the
patient sector on the multibed screen.
2. When done, verify that all the patient information items are correct.
3. Select the Save button.
NOTE
• The items displayed on the patient management screen are dependent on the system settings. For
details on how to configure these items, see Section 12.5.2 Configuring Patient Fields.
4-5
4.7.4 Patient Information Synchronization
When monitoring devices are connected to the CentralStation/ WorkStation, any changes to the patient
information at either the CentralStation/ WorkStation, or the monitoring devices will be synchronized to all
displayed locations to ensure that the patient information is consistent.
When monitoring devices are disconnected from the CentralStation/ WorkStation and then reconnected, patient
information from the monitoring devices will be updated to the CentralStation/ WorkStation.
NOTE
• When the system time at the source CentralStation/WorkStation and target CentralStation is not
consistent, transferring a patient may cause patient data loss.
• Ensure that the same patient is monitored by both the source and destination beds. Otherwise,
discharge the patient in the destination patient sector first.
4-6
• When a patient is transferred from one bed to another bed, the source CentralStation/WorkStation
will interrupt patient monitoring temporarily.
• If there is a version difference between two CentralStations, patient transfer may not be supported.
NOTE
• When “Prompt on patient auto deleted” is enabled in the system setup menu, if the storage space is
nearly full, the alarm “The patient data storage space is nearly full. Please delete some discharged
patients.” is displayed in the system alarm area at the top of the screen. In this case, delete some
discharged patients. Otherwise, the oldest discharged patient and corresponding historical data will
be deleted automatically.
NOTE
• Discharged patient information can be deleted only when Delete Discharged Patients is set to No
Password or Local Password in the system setup. For more information, see Section 12.12.6.4 Setting
the Permission to Delete Discharged Patient Information.
4-7
4.10.4 Printing Historical Data of Discharged Patients
After entering the review screen of discharged patients, you can print historical data of discharged patients.
For details on how to enter the review screen of discharged patients, see Section 6.2.2 Entering the Review Screen
for Discharged Patients.
For details on how to print historical data of discharged patients, see Chapter 6 Review.
4-8
5 Alarms
5-1
5.2.3 Alarm Indicators
When an alarm occurs, the CMS gives different visual or audible alarm indications as shown below.
.
Alarm ISO Repeat pattern Repeat pattern 1-beep tone None The alarm tones are
tone of 2 × 5 beep of 3-beep tones issued at different
pattern tones frequencies.
Alarm message White text Black text inside Black text inside White Alarm messages are
inside a red box a yellow box a cyan box text displayed in the alarm
information area on the
ViewBed screen and in
the patient sector on the
multibed screen. You can
set whether to let the
background color of high
priority and medium
priority alarm messages
flash. For details, see
Section 12.4.4
Configuring Other Alarm-
Related Items.
Parameter value Black text inside Black text inside Black text None None
a flashing red a flashing inside a flashing
box yellow box cyan box
NOTE
• Alarm time is displayed for latched physiological alarms only.
• The audible and visual alarms given by the CMS comply with the IEC 60601-1-8 standard. The
hospital or institution employing the use of the CMS should give adequate training to the operators.
• When multiple alarms of different priority levels occur simultaneously, the CMS selects the alarms of
the highest priorities and provides alarm tones accordingly.
• When multiple alarms of the same priority levels occur simultaneously and are displayed in the
same area, all the alarm messages will be scrolled in the display area.
• Some physiological alarms, such as asystole, are exclusive. They have identical alarm tones with
normal high level physiological alarms, but their alarm messages are displayed exclusively. That is
to say, when an exclusive physiological alarm and a normal high level physiological alarm are
triggered simultaneously, only the alarm message of the exclusive physiological alarm is displayed.
5-2
5.2.4 Alarm Status Symbols
Apart from the alarm indicators as described in 5.2.3 Alarm Indicators, the following symbols are displayed on the
screen to indicate current alarm status of monitoring devices:
■ : the alarm pause symbol, indicating that all the alarms are paused.
■ : the alarm off symbol, indicating that individual measurement alarms are turned off or the system is in
the alarm off status.
■ : the audio pause symbol, indicating that audible alarm are paused.
■ : the audio off symbol, indicating that audible alarm are turned off.
■ : the alarm reset symbol, indicating that alarms are acknowledged and the alarm system is reset.
2. Select the symbol in the upper right corner of the Alarm List screen. This clears all the physiological
and technical alarms.
NOTE
• Selecting the symbol only clears all the physiological and technical alarms in the alarm list
window, but does not clear these alarms stored in the central monitoring system.
5-3
5.5 Setting Alarm Properties
CAUTION
• When changing the alarm limits of a monitoring device via the CentralStation or the WorkStation,
make sure that the alarm limits settings are appropriate for your patient. Setting alarm limits to
extreme values may cause the alarm system to become ineffective.
NOTE
• When Alarm Setup is selected on the authorization setup page, alarm settings can be changed either
via the CentralStation/WorkStation or the monitor. Alarm changes made will be synchronized to all
locations to ensure consistency. For detailed information on the authorization setup page, see
Section12.12.6 Setting Authorization Setup.
• Alarm settings can only be viewed at the ViewStation. But they cannot be modified.
• When Alarm Setup is not selected on the authorization setup page, alarm settings cannot be
changed via the CentralStation/WorkStation. Besides, the symbol is displayed beside a
parameter’s alarm on/off option on the ViewBed screen.
5-4
5.5.2 Changing Arrhythmia Alarm Settings
To change arrhythmia alarm settings, follow this procedure:
1. Enter the arrhythmia alarm setup menu in one of the following ways:
◆ Select the bed number and room number area in the upper left corner of the desired patient
sector on the multibed screen → from the drop-down list select Alarm Setup → select the
Arrhythmia tab.
◆ Select the Alarm Setup quick key at the bottom of the ViewBed screen → select the Arrhythmia tab.
◆ Select the ECG parameter area or waveform area on the ViewBed screen to enter the ECG setup menu
→ select the Arrhythmia tab.
2. Change alarm settings
◆ Enable or disable arrhythmia alarms: you can enable arrhythmia alarms separately or collectively. If
you need to enable these alarms collectively, select All On. If you need to disable all the arrhythmia
alarms, select All Off. If you need to enable only the lethal arrhythmia alarms, select Lethals Only.
◆ Set alarm priorities.
◆ Set Alarm Outputs. For details on the options, see Section 5.5.1.1 Setting Parameter Alarm Properties
Collectively.
3. Select the Threshold tab and adjust as needed.
NOTE
• If a bedside monitor is connected and the Lethal Arrhy Off option in the monitor’s user maintenance
menu is set to Disable, the All Off button in the arrhythmia alarm setup menu in the CMS is inactive.
• If a telemetry device is connected and the Lethal Arrhy Alarms Off button on the telemetry setup
page is disabled, the All Off button in the arrhythmia alarm setup menu in the CMS is inactive.
• For information on the arrhyhtmia alarm settings and threshold settings, see operator’s manuals for
monitoring devices.
5-5
NOTE
• Do not rely exclusively on the audible alarm system. Setting the alarm volume to a low level may
result in a hazard to the patient.
5.5.5 Setting Alarm Sound Pattern, Alarm Interval, Alarm Volume Escalation, and
Audio Off Priority
The CMS provides the function of automatically escalating the alarm tone volume. When this function is
enabled, if an alarm is not reset within the designated delay time after the alarm occurs, the volume of the alarm
tone increases automatically.
You can set the alarm volume escalation, alarm sound pattern, alarm interval, and audio off priority. For more
information, see Section 12.4.2 Configuring Alarm Audio Properties.
NOTE
• When the alarm system is reset, latched physiological alarms are cleared. For details on how to reset
alarms, see Section 5.8 Alarm Reset.
5-6
5.5.9 Setting Alarm Properties for External Devices
When a patient monitor is connected to external devices via the BeneLink module, you can set the alarm
properties for external devices at the CentralStation/WorkStation. These settings take effect for the
CentralStation/WorkStation only. They do not affect settings in the remote patient monitor.
To set alarm properties, follow this procedure:
1. Access the integrated device screen in either of the following ways:
◆ On the ViewBed screen, select the Screen Setup quick key from the quick key area →select
Integrated Devices.
◆ On the multibed screen, select the bed number and room number area in the upper left corner of
the desired patient sector →from the drop-down list select Screen Setup → select the ViewBed
tab→select Integrated Devices.
2. Select the Setup button. The Setup menu is displayed.
3. Set alarm properties.
◆ Set whether to store and display alarms and whether to issue alarm sounds in the Storage, Display,
and Audio columns.
◆ If you wish to add a new alarm, enter its alarm ID on the text box besides the Add button.Then select
the Add button. For the list of alarm IDs, see BeneLink Module Operator’s Manual (PN: 046-011948-00)
(Version 2.0 or above).
◆ If you wish to add a new alarm, enter its alarm ID on the text box besides the Add button.Then select
the Add button. For the list of alarm IDs, see BeneLink Module Operator’s Manual (PN: 046-009023-00).
◆ If you wish to delete an alarm, select the symbol. Then select the Delete button. The default
alarms cannot be deleted.
NOTE
• Settings in the Display and Audio columns at the CentralStation take effect for the CentralStation
only and does not affect settings at the WorkStation, and vice versa.
• If alarms in the Display or Audio column is disabled, when these alarms occur, corresponding alarm
messages or alarm sound will not be displayed or enunciated at the CentralStation or the
WorkStation. In this case, pay close attention to alarms issued at the monitoring devices.
5-7
1. Access the ViewBed screen in either of the following ways:
◆ Select the parameter area or waveform area in the desired patient sector on the multibed screen to
access the ViewBed screen.
◆ Select the ViewBed symbol when it is displayed in the desired patient sector on the multibed
screen.
2. Select the Alarm Pause quick key at the bottom of the screen. If this quick key is not available, configure it
by following steps in 3.5.5.2 Configuring Quick Keys.
The alarm pause time for patient monitors needs to be configured on the monitors. The default alarm pause
time for telemetry devices is two minutes. The alarm pause time for telemetry devices is configurable. For details,
see Section 12.8.2 Setting Alarm Properties for Telemetry Devices.
When the alarm pause time expires, the alarm paused status is automatically deactivated. You can also cancel
the alarm paused status by selecting the Alarm Pause quick key.
5-8
5.8 Alarm Reset
You can reset alarms from patient monitors remotely via the CentralStation or the WorkStation under the
following conditions:
■ The patient monitors support alarm reset via the monitors themselves and via the CentralStation or the
WorkStation.
■ The Alarm Pause&Audio Pause&Alarm Reset function is enabled at the CentralStation or the
WorkStation. For details on how to enable this function, see 12.12.6 Setting Authorization Setup.
You can reset alarms from telemetry devices at the CentralStation or the WorkStation. You can also reset system
alarms in the system alarm area at the top of the screen.
NOTE
• If a new alarm is triggered after the alarm system is reset, the alarm reset symbol will disappear and
visual and audible alarm indications will be reactivated.
5-9
5.8.2 Resetting System Alarms
To reset system alarms, follow this procedure:
1. Select the system alarm area at the top of the screen. For information on the system alarm area, see Section
3.4.1 Example Multibed Screen.
2. Select Alarm Reset.
When system alarms are reset, the following alarm indications are given:
■ Some technical alarms are cleared and no alarm indications are given.
■ Some technical alarms are changed to the prompt messages.
■ For some technical alarms, the alarm is silenced and a √ appears before the alarm message, indicating that
the alarm is acknowledged.
5 - 10
6 Review
6.1 Overview
You can review historical data for online patients and discharged patients on the review screen. The review
screen provides several tabs to display historical data from different aspects. The review tabs for the online
patients and discharged patients are the same.
NOTE
• Review tabs are dependent on the patient category and patient sector settings. For details on how
to select the review tabs in the patient sector, see Section 12.3.5 Setting Patient Window.
6-1
6.3 Example Review Page Structure
Select the button in the upper left corner of the review screen to enter appropriate review pages. The
graphic trends review page is an example to introduce the items that may also be displayed on other review
pages.
(1)
(2) (3)
(4)
(7)
(2) Event type indicator: different color blocks match different types of events:
■ Red: high priority alarm event
■ Yellow: medium priority alarm event
■ Cyan: low priority alarm event
■ Green: manual event
■ White: operation-related event
(3) Event area/current cursor time area: after you select an event from the event list, this event is displayed in this
area. Selecting this area goes to the Events review page. If an event is not selected, this area displays current
cursor time.
(4) Scroll bar: indicates the position of currently displayed trend data in all the trend data.
(5) Cursor: shows your current position in the trend page. When the cursor is moved across the timeline, the values
measured at the cursor time are shown in the right column.
(6) Parameter area: displays numeric values where the cursor stops. The color of numeric values is consistent with
the color of parameter labels. The background color of numeric values matches the alarm priority.
(8) Waveform area: displays trend curves. The color of trend curves is consistent with the color of parameter labels.
6-2
6.4 Symbols on Review Pages
The following table lists the symbols on review pages.
Symbol Description
Slider: indicates the position of current window time in the entire time length.
Dragging the slider left or right enables you to locate the trend data at a specific
time and also refreshes trend data in current window accordingly.
Event list: displays events in a chronological order. The most recent event is
displayed at the top.The number of asterisk symbols before an event matches
different alarm priorities. When a parameter label is prefixed with the plus sign (+),
it indicates that the data is for external devices connected to the monitor via the
BeneLink module.
This symbol is displayed in the upper right corner of a review page for a landscape
display greater than 19-inch. Selecting this symbol displays two review pages
simultaneously.
Print button: select it to output patient information and data through the printer.
Record button: select it to output patient information and data through the
recorder.
6-3
Events are displayed in a chronological order. The most recent event is displayed at the top. The number of
asterisk symbols before an event matches the following alarm priority:
■ ***: high priority alarm
■ **: medium priority alarm
■ *: low priority alarm
NOTE
• For 19-inch single display, two review pages can not be displayed simultaneously.
NOTE
• The options for Interval are dependent on the functions of a bedside monitor.
• The parameters displayed for Trend Group are dependent on the parameters configured at a
bedside monitor.
6-4
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Set the desired options. Only items that may need special remarks are described here.
Period Select the period during which a tabular 30 min, 1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs, 48
trends report will be printed. hrs, 72 hrs, 96 hrs, Auto, All
Auto: prints one page of a tabular trends
before the current time.
All: prints all stored tabular trends at the
selected Interval.
Note: Auto only limits the number of rows or
columns for time on a report.The report may
have multiple pages to accommodate the
number of parameters. To limit the parameters,
change the trend group on the review page.
Interval Select the resolution of the tabular 5 sec, 30 sec, 1 min, 5 min, 10 min, 15 min, 30
trends printed on a report. min, 1 hr, 2 hrs, 3 hrs, NIBP, TempIF, C.O., Auto
NIBP, TempIF, C.O.: prints a tabular trends
report when NIBP, infrared temperature, or C.O.
measurements were acquired. Each NIBP,
infrared temperature, or C.O. measurement will
generate a column on the tabular trends
review page. The values for the other
measurements are added to the column to
provide a complete dataset for the NIBP,
infrared temperature, or C.O. measurement
time.
Auto: prints a tabular trends report at the
interval set in the Interval option in the upper
right corner of the Tabular Trends review
page.
Report Format Select the printing principle. Parameter Oriented: prints a report with
parameters listed by row and time listed by
column.
Time Oriented: prints a report with time listed
by row and parameter listed by column.
6-5
Menu Item Description Options
Date Set the specific date on which you wish Default to the date for the data where the
to export trend data. cursor stops.
Time Set the export end time. Default to the date for the time where the
cursor stops.
Period Select the period during which trend 30 min, 1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs, 48
data is exported. hrs, 72 hrs, 96 hrs, All
Default to 1 hr.
Interval Select the resolution of trend data. 1 sec, 5 sec, 30 sec, 1 min, 5 min, 10 min, 15 min,
30 min, 1 hr, 2 hrs, 3 hrs, NIBP, TempIF, C.O.
NIBP, TempIF, C.O.: export trend data when
NIBP, infrared temperature, or C.O.
measurements were acquired.
Interval is defaulted to Interval displayed on
the tabular trends review page.
Note: The options for Interval are dependent
on the functions of a bedside monitor.
4. Select Export.
You can view export progress and results in the Export Queue menu. For more information on this menu, see
Section 3.4.1 Example Multibed Screen.The exported trend data is saved in the sub-folder named as
ParameterData under the patient’s folder which is located in the selected Save Path.
6-6
6.7.4 Exporting Trend Data
When the CMS is connected to a storage device and exporting patients’ data is allowed in the system setup
menu, you can export patients’ trend data from the graphic trends review page or the tabular trends review
page. Patients’ trend data exported from these two review pages is the same. Exported trend data is saved in csv
format.
After entering the graphic trends review page, export patients’ trend data by following steps in Section 6.6.4
Exporting Trend Data.
In case of alarms, the background of compressed waveform block at the alarm time is marked with a special
color:
■ Red: high alarm priority
■ Yellow: medium alarm priority
■ Cyan: low alarm priority
6-7
1. Enter the full disclosure review page.
2. Select Duration.
3. Configure the desired Duration time.
6-8
6.8.4.2 Setting Waveform Sweep Speed
To set the waveform sweep speed, follow this procedure:
1. Enter the detail waveform window.
2. Select the Speed button.
3. Configure the desired speed. The speed is applicable to all the ECG waveforms.
(7)
(1)
(8)
(5)
(9)
(4) Close button: closes the caliper window without saving the measured value.
6-9
5. Select the desired option to Save or Reset measured values.
◆ Save: saves the caliper measurement values as a manual event in the event review page. In the
Please input new name: field, enter the desired name of the event. The default name is Saved ECG
measurement. In the Please input comments: field, enter the desired comments and then select
OK. Up to 32 characters can be entered for the name and the comments.The measured values are
displayed above the first ECG waveform in the event detail window.
◆ Reset: clears the measured values.
Option 2:
1. Enter the detail waveform window.
2. Right click the mouse at a place in the desired waveform area and then drag the cursor horizontally until
your desired location is reached. Measured values are displayed in real-time.
NOTE
• Measured values obtained by Option 2 cannot be saved.
6 - 10
6.8.4.4 Setting Beat Annotation
When a bedside monitor and a telemetry device support the beat annotation functionality, you can enable or
disable Beat Annotation to display or hide white beat labels above the first ECG waveform in the detail
waveform window. The white beat labels indicate how the monitor or the telemetry device is classifying beats
and may explain suspected, missed, or false arrhythmia calls.
■ N = Normal
■ V = Ventricular Ectopic
■ S = Supraventricular Premature
■ P= Paced
■ L= Learning
■ ?= Insufficient information to classify beats
■ I= Inoperative (for example, Lead Off )
■ M= Missed beat
When beat labels are displayed above the ECG waveform, they can be printed. If you enable or disable Beat
Annotation in the detail waveform window, these beat labels will also be displayed or hidden in the event detail
window, and vise versa.
CAUTION
• Ensure that you have selected the optimal leads with the best waveform amplitude and the highest
signal-to-noise ratio. Selecting the optimal leads is important for beat detection, beat classification,
and V-Fib detection.
NOTE
• The Export to EMR option is available only when the CMS is configured with eGateway and the
exporting to EMR feature is enabled on the system setup screen. For details on how to enable this
feature, see Section 12.9.4.3 Testing ADT Server Connection.
6 - 11
◆ Print Details of Selected Waveforms: prints the detail waveform for the selected compressed
waveform segments according to the time period where selected waveform segments are located.
◆ Print Displayed Detailed Waveforms: prints the detail waveform for the entire compressed
waveform.
◆ Print Selected Detailed Waveforms: prints the detail waveform for the selected waveform segments
according to waveforms. If you select this option, you can further select Select Waveform to
customize the number and sequence of waveforms which are output on a printout. After performing
the desired settings, select the button in the upper right corner of the Select Waveform menu.
4. If you wish to preview the printout, select Print Preview.
5. Select Print.
NOTE
• Print Displayed Waveform Detail and Print Selected Waveform Detail are selectable in the detail
waveform window only. For information regarding accessing the detail waveform window, see
Section 6.8.4 Detail Waveform Window.
Date Set the specific date on which you wish Default to the date for the data where the
to export waveform data. cursor stops.
Time Set the export end time. Default to the date for the time where the
cursor stops.
Period Select the period during which 30 min, 1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs, 48
waveform data is exported. hrs, 72 hrs, 96 hrs, All
Default to 1 hr.
6 - 12
Menu Item Description Options
Select Waveform Select the desired waveforms to be Enabling a waveform means this waveform will
exported. be exported.
File Format Select the desired format in which csv, xml. csv is the default.
exported waveform data is saved.
4. Select Export.
You can view export progress and results in the Export Queue menu. For more information on this menu, see
Section 3.4.1 Example Multibed Screen.The exported trend data is saved in the sub-folder named as WaveformData
under the patient’s folder which is located in the selected Save Path.
NOTE
• When the filter is disabled, all the settings you made in the Filter Setup window will not take effect.
6 - 13
• Manual events are always displayed.
• BeneLink in the Parameter Group section of the Filter Setup window stands for parameters from
external devices.
NOTE
• If events are all locked, the CentralStation will automatically delete the oldest locked event with
each addition of a new event when system storage reaches capacity.
6 - 14
6.9.3.2 Configuring Waveform Sweep Speed
To configure the waveform sweep speed, follow this procedure:
1. Enter the event detail window.
2. Select the Speed button.
3. Configured the desired speed. The speed is applicable to all the ECG waveforms.
NOTE
• The Export to EMR option is available only when the CMS is configured with eGateway and the
exporting to EMR feature is enabled on the system setup screen. For details on how to enable this
feature, see Section 12.9.4.3 Testing ADT Server Connection.
NOTE
• Print preview is not applicable for Print Detail of Selected Events.
6 - 15
6.9.5 Recording Event Detail
To record the event detail, follow this procedure:
1. Enter the event detail page.
2. Select the button in the upper right corner of this page.
6 - 16
NOTE
• The measured caliper values on the 12-lead analysis review page are not saved on the event review
page.
6 - 17
6.12 Arrhythmia Statistics Page
On the arrhythmia statistics page, you can view the statistics about the HR value and the number of each
arrhythmia category within a specific time period. Arrythmia statistics can be displayed in a tabular or graphic
format.
6 - 18
7 Calculation
NOTE
• The calculation functions that can be performed on the CMS are dependent on the system setup. For
details on how to configure the calculation functions, see Section 12.3.5 Setting Patient Window.
WARNING
• Decisions on the choice and dosage of drugs administered to patients must always be made by the
physician in charge. The drug calculations are based on the values input, it does not check the
plausibility of the calculation performed.
• Be sure to enter correct values and verify the correctness of the calculation results displayed on the
screen before using them. We assume no responsibility for any consequences caused by wrong
entries and improper operations.
• The calculations in the titration table are subject to the drug calculations. Therefore, always ensure
the correctness of the drug calculations and confirm the reference, dose interval and dose type.
7-1
7.4 Drug Calculations
On the drug calculation page, you can perform drug calculation, view calculation result, and print the titration
table.
2. From the drop-down list, select Drug to access the drug calculation page.
4. Set Drug Name and Patient Category. The dose calculation program has a library of commonly used
drugs, of which Drug A through Drug E are user defined.
5. If the drug dose is weight dependent, enable Weight Based and input the patient’s weight.
6. Enter the known values, for example Drug Amount and Solution Volume.
NOTE
• If available, the patient category and weight from the patient management screen are automatically
entered when you first access the drug calculation page. You can change the patient category and
weight. This will not change the patient category and weight stored on the patient management
screen.
4. Select Dose Type to set the type of dose unit in the titration table.
5. Select Interval to set the interval between two adjacent titration table items.
6. If you need to sort the titration table, select the desired items at the top of the screen:
7-2
7.4.4 Drug Calculation Formula
Drug Amount g series: mcg, mg, g Drug Amount =Dose × Infusion Time
unit series: Unit, KU, MU
mEq series: mEq
Drug Amount (weight based) g series: mcg, mg, g Drug Amount (weight based) = Dose × Infusion
unit series: unit, kU, mU Time × Weight
mEq series: mEq
Infusion Time (weight based) hr Infusion Time (weight based) = Drug Amount/(Dose
× Weight)
Dose (weight based) Dose/kg/hr Dose (weight based) = INF Rate × Concentration/
Dose/kg/min Weight
4. Select Calculate.
The calculated value greater than the normal upper limit is indicated by an up arrow “↑”. The calculated
value lower than the normal lower limit is indicated by a down arrow “↓”.
7-3
On the hemodynamic calculation page, you can also perform the following operations:
■ Select Range to show the normal range of each parameter.
■ Select Range, and then the Range button changes to Unit. Select Unit to show the unit of each parameter.
height Height cm
weight Weight kg
body surface area BSA m2 BSA (m2) = Wt0.425 (kg) × Ht 0.725 (cm) ×
0.007184
systemic vascular SVRI DS•m2/cm5 SVRI (DS•m2/cm5) = SVR (DS/cm5) × BSA (m2)
resistance index
pulmonary vascular PVRI DS•m2/cm5 PVRI (DS•m2/cm5) = PVR (DS/cm5)× BSA (m2)
resistance index
left cardiac work LCW kg•m LCW (kg•m) = 0.0136 × APMAP (mmHg) × C.O.
(L/min)
left cardiac work index LCWI kg•m/m2 LCWI (kg•m/m2) = LCW (kg•m)/BSA (m2)
7-4
Calculated Parameters Label Unit Formula
left ventricular stroke LVSW g•m LVSW (g•m) = 0.0136 × APMAP (mmHg) × SV
work (ml)
left ventricular stroke LVSWI g•m/m2 LVSWI (g•m/m2) = LVSW (g.m)/BSA (m2)
work index
right cardiac work RCW kg•m R CW (kg•m) = 0.0136 × PAMAP (mmHg) × C.O.
(L/min)
right cardiac work index RCWI kg•m/m2 R CWI (kg•m/m2) = RCW (kg.m)/BSA (m2)
right ventricular stroke RVSW g•m R VSW (g•m) = 0.0136 × PAMAP (mmHg) × SV
work (ml)
right ventricular stroke RVSWI g•m/m2 R VSWI (g•m/m2) = RVSW (g•m)/BSA (m2)
work index
End-systolic Volume index ESVI ml/m2 ESVI (ml/m2) = ESV (ml)/BSA (m2)
4. Select Calculate.
The calculated value greater than the normal upper limit is indicated by an up arrow “↑”. The calculated
value lower than the normal lower limit is indicated by a down arrow “↓”.
On the oxygenation calculation page, you can also perform the following operations:
■ Select OxyCont Unit, Hb Unit, and Pressure Unit. Then corresponding parameter values will be
automatically converted and updated accordingly.
■ Select Range to show the normal range of each parameter.
■ Select Range, and then the Range button changes to Unit. Select Unit to show the unit of each parameter.
7-5
7.6.4 Input Parameters for Oxygenation Calculations
body surface area BSA m2 BSA (m2) = Wt0.425 (kg) × Ht 0.725 (cm) ×
0.007184
oxygen consumption VO2 ml/min VO2 (ml/min) = C(a-v)O2 (ml/L)× C.O. (L/min)
arterial oxygen content CaO2 ml/L, ml/dL CaO2 (ml/L) = 10× (0.0134 × Hb (g/dl) × SaO2
(%) +0.031× PaO2 (mmHg)
venous oxygen content CvO2 ml/L, ml/dL CvO2 (ml/L) = 10× (0.0134 × Hb (g/dl) × SvO2
(%) +0.031 × PvO2 (mmHg)
arteriovenous oxygen C(a-v)O2 ml/L, ml/dl C(a-v)O2 (ml/L) = CaO2 (ml/L) - CvO2 (ml/L)
content difference
partial pressure of oxygen PAO2 mmHg, kPa PAO2 (mmHg) = [ATMP (mmHg) - 47 mmHg] ×
in the alveoli FiO2 (%)/100 - PaCO2 (mmHg) × [FiO2 (%)/100
+ (1 - FiO2 (%)/100)/RQ]
alveolar-arterial oxygen AaDO2 mmHg, kPa AaDO2 (mmHg) = PAO2 (mmHg) - PaO2
difference (mmHg)
capillary oxygen content CcO2 ml/L, ml/dl CcO2 (ml/L) = Hb (g/L) × 1.34 + 0.031 × PAO2
(mmHg)
% QS/QT (%) = 100× [1.34 × Hb (g/L) × (1 - SaO2 (%)/100) +
venous admixture QS/QT
0.031 × (PAO2 (mmHg) - PaO2 (mmHg)]/[1.34 × Hb (g/L) ×
(1 - SvO2 (%)/100) + 0.031× (PAO2 (mmHg) - PvO2
(mmHg)]
oxygen transport index DO2I ml/min/m2 DO2I (ml/min/m2) = CaO2 (ml/L) × (C.O. (L/
min)/BSA (m2))
oxygen consumption VO2I ml/min/m2 VO2I (ml/min/m2) = C (a-v) O2 (ml/L) ×(C.O. (L/
min)/BSA (m2))
7-6
7.7 Ventilation Calculations
On the ventilation calculation page, you can perform ventilation calculation, view and print the calculation
result.
4. Select Calculate.
The calculated value greater than the normal upper limit is indicated by an up arrow “↑”. The calculated
value lower than the normal lower limit is indicated by a down arrow “↓”.
On the ventilation calculation page, you can also perform the following operations:
■ Select Pressure Unit. Then corresponding parameter values will be automatically converted and updated
accordingly.
■ Select Range to show the normal range of each parameter.
■ Select Range, and then the Range button changes to Unit. Select Unit to show the unit of each parameter.
tidal volume TV ml
7-7
7.7.5 Calculated Parameters and Formulas for Ventilation Calculations
partial pressure of oxygen PAO2 mmHg, kPa PAO2 (mmHg) = [ATMP (mmHg) - 47 mmHg] ×
in the alveoli FiO2 (%)/100 - PaCO2 (mmHg) × [FiO2(%)/100
+ (1 - FiO2 (%)/100)/RQ]
alveolar-arterial oxygen AaDO2 mmHg, kPa AaDO2 (mmHg) = PAO2 (mmHg) - PaO2
difference (mmHg)
4. Select Calculate.
The calculated value greater than the normal upper limit is indicated by an up arrow “↑”. The calculated
value lower than the normal lower limit is indicated by a down arrow “↓”.
On the renal calculation page, you can also perform the following operations:
■ Select Range to show the normal range of each parameter.
■ Select Range, and then the Range button changes to Unit. Select Unit to show the unit of each parameter.
7-8
7.8.4 Calculated Parameters and Formulas for Renal Calculations
creatinine Cr μmol/L
height Height cm
weight Weight kg
urine sodium excretion URNaEx mmol/24 hrs URNaEx (mmol/24 hrs) = Urine (ml/24 hrs) ×
URNa (mmol/L)/1000
urine potassium excretion URKEx mmol/24 hrs URKEx (mmol/24 hrs) = Urine (ml/24 hrs) ×
URK (mmol/L)/1000
sodium potassium ratio Na/K % Na/K (%) = 100 × URNa (mmol/L)/URK (mmol/
L)
clearance of sodium CNa ml/24 hrs CNa (ml/24 hrs) = URNa (mmol/L) × Urine (ml/
24 hrs)/SerNa (mmol/L)
creatinine clearance rate Clcr ml/min Clcr (ml/min) = Ucr (μmol/L) × Urine (ml/24
hrs)/[Cr (μmol/L) × (BSA (m2)/1.73) × 1440]
free water clearance CH2O ml/hr CH2O (ml/hr) = Urine (ml/24 hrs) × [1 - Uosm
(mOsm/kgH2O)/Posm (mOsm/kgH2O)]/24
blood urea nitrogen BUN/Cr* Mmol/L BUN/Cr = 1000 × BUN (mmol/L)/Cr (μmol/L)
creatinine ratio
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7 - 10
8 Paging
8.1 Overview
The CMS provides a paging interface to integrate a third-party paging system. The paging system acquires
patient alarms data from a bedside monitor or a telemetry device and relays it to a paging device such as a
pager. The paging feature is optional.
WARNING
• The third-party paging system may not provide visual or auditory alarm indicators, and a delay
within the third-party paging system may occur. Therefore, do not rely exclusively on the paging
system. Always pay close attention to the CMS or monitoring devices.
NOTE
• Access to the Paging window can be password protected. The password is the same as that for
accessing other system setup tabs that require a password. For details on how to enable paging
password protection, see Section 12.12.6 Setting Authorization Setup.
NOTE
• Pager numbers must be unique. If an existing pager number is entered, the message “Pager Number
already exists! Please enter a new number.” is displayed.
8-1
8.4 Assigning a Bed to a Pager
An online bed can be assigned to a pager. An online bed refers to a bed that has been already admitted to the
CMS. A pager can be manually assigned to a desired bed number. One bed can be assigned to multiple pagers.
8-2
8.8 Resending a Failed Page
If an attempt was made to send a page and was unsuccessful, the page will be added to the Failed Pages
window. The Failed Pages window contains a list box that can contains failed pages. The list box orders the
failed pages chronologically in descending order.
NOTE
• If the system is reset, all failed pages listed in the Failed Pages window will be removed.
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8-4
9 Printing
NOTE
• For more details about the printer, see the document accompanying the printer. With product
upgrades, the CMS may support more printers and no prior notice will be given. If you have any
doubt about the printer you have purchased, contact Mindray.
• PDF reports can be output by PDFCreator only.
9-1
9.2.1.4 Printing Calculation Results
For details on how to print a titration table, hemodynamic calculation result, oxygenation calculation result,
ventilation calculation result, and renal calculation result, see Chapter 7 Calculation.
NOTE
• For details on how to set the ECG reports, see Section 9.5.2.2 Setting ECG Reports in the Report Setup
Tab.
9-2
4. Select the EEG tab.
5. After selecting desired settings, select the button in the upper left corner. The Print Setup menu is
displayed.
6. After selecting desired settings, select Print.
9-3
6. After selecting desired settings, select Print.
9-4
3. After selecting the desired settings, select the button in the upper left corner. The Print Setup
menu is displayed.
4. After selecting desired settings, select Print.
9-5
1. Select the button in the upper right corner of the CMS main screen.
1. Select the button in the upper right corner of the CMS main screen.
9-6
Menu item Description Options Default
Auto Interval Defines the spacing On: automatically adjusts the space Off
between the ECG between waveforms to avoid
waveforms on a overlapping.
printout Off: each waveform area has the same
size on a printout.
Note: This setting is only relevant when 12×1 is selected for 12-Lead Format.
12-Lead Format Select the format of 12- 12×1: displays 12-lead ECG waveforms 3×4+1
lead ECG waveforms on one page in one column.
on a printout. 6×2: displays 12-lead ECG waveforms
on one page in two columns, with 6
lines in each column.
6×2+1: displays 12-lead ECG
waveforms on one page in two
columns, with 6 lines in each column,
and one rhythm lead waveform at the
bottom.
3×4+1: displays 12-lead ECG
waveforms on one page in 4 columns,
with 3 lines in each column, and one
rhythm lead waveform at the bottom.
3×4+3: displays 12-lead ECG
waveforms on one page in 4 columns,
with 3 lines in each column, and three
rhythm lead waveforms at the bottom.
Rhythm Lead 1 Select the lead that will I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, Rhythm Lead 1: II
Rhythm Lead 2 be used as Rhythm V6 Rhythm Lead 2: V2
Lead 1, 2, or 3.
Rhythm Lead 3 Rhythm Lead 3: V5,
Note: This setting is only relevant when 6×2+1,3×4+1, or 3×4+3 is selected for 12-Lead
Format.
Format sequence Select the recording Sequential: 12-lead ECG data are Sequential
method of ECG report recorded sequentially and displayed in
generated by auto 3 lines and 4 columns with 2.5 seconds
measurement of ECG data for each column.
Simultaneous: Record simultaneous
12-lead ECG data.
9.5.3.1 Setting Tabular Trends Reports in the End Case Report Tab
To set tabular trends reports as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the Tabular Trends Report tab.
3. Set the desired options. Only items that may need special remarks are described here.
9-7
Menu Item Description Options Default
Interval Select the resolution of the tabular 1 min, 5 min, 10 min, 15 min, 30 min, 30 min
trends printed on a report. 1 hr, 2 hrs, 3 hrs, NIBP, TempIF, C.O.
NIBP, TempIF, C.O.: prints a tabular
trends report when NIBP, infrared
temperature, or C.O. measurements
were acquired. Each NIBP, infrared
temperature measurement will
generate a column on the tabular
trends review page. The values for
the other measurements are added
to the column to provide a complete
dataset for the NIBP, infrared
temperature measurement time.
Report Format Select the printing principle. Parameter Oriented: prints a report Parameter Oriented
with parameters listed by row and
time listed by column.
Time Oriented: prints a report with
time listed by row and parameter
listed by column.
Trend Group Select the trend option whose data All, Standard, Hemo, Cardiac, Standard
you wish to be displayed on a printout. Pulmonary, RM, Neuro, Gases,
Custom 1, Custom 2
9.5.3.2 Setting Graphic Trends Reports in the End Case Report Tab
To set graphic trends reports as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the Graphic Trends Report tab.
3. Set Trend Group.
9.5.3.4 Setting 12-Lead Interpretation Reports in the End Case Report Tab
To set 12-lead interpretation report as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the 12-Lead Interpretation tab.
3. Set the desired options. For details on how to set the options, see Step 3 of Section 9.5.2.2 Setting ECG
Reports in the Report Setup Tab.
9-8
9.5.3.6 Setting ECG Reports in the End Case Report Tab
To set ECG reports as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the ECG Report tab.
3. Set the desired options. For details on how to set the options, see Step 3 of Section 9.5.2.2 Setting ECG
Reports in the Report Setup Tab.
NOTE
• Up to 11 pages of event reports can be printed.
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9 - 10
10 Recording
(1)
(2)
(5)
(3) (6)
(4)
10 - 1
(1) (4)
(2)
(5)
(3)
(6) (8)
(7) (9)
(1) hardkey
NOTE
• When connected to the CMS, pressing the hardkey on the front panel of the TR6-F recorder
cannot start a recording, but can manually stop a recording.
10 - 2
10.2 Loading Paper
WARNING
• Use the standard (50mm) thermal recorder paper for the recording. Otherwise, the recording may be
in poor quality, unusable, or the thermal printer head may become damaged.
• Be careful to avoid damaging the thermal printer head when loading the paper. Never pull the paper
bail at the upper left corner of the recorder except if you plan to replace the recorder paper or
resolve an issue.
To load paper for the TR6-B recorder, follow this procedure referring to Figure 10-3 to Figure 10-8 as shown
above:
1. Use the latch at the upper right of the recorder door to pull the door open, and then pull the paper bail at
the upper left of the recorder door.
2. Insert a new roll into the compartment.
3. Feed the paper through the paper outlet.
4. Pull some paper out from the top of the roller and adjust it.
5. Push down the paper bail.
6. Close the recorder door.
10 - 3
10.2.2 Loading Paper for the TR6-F Recorder
To load paper for the TR6-F recorder, follow this procedure:
1. Use the latch at the upper right of the recorder door to pull the door open.
2. Insert a new roll into the compartment as shown below. Feed the paper through and pull some paper out
from the top of the roller.
10 - 4
10.4 Starting Recordings
You can start a recording task manually or set the recorder to start a recording task automatically.
10 - 5
To set the recorder to automatically start recording on alarm, follow this procedure:
1. Access alarm related tabs such as the Alarm tab for a parameter in one of the following ways:
◆ Select the Alarm Setup quick key at the bottom of the screen.
◆ Select the parameter or waveform area of the desired parameter → select an alarm related tab.
◆ Select the Parameter Setup quick key at the bottom of the screen → select the desired parameter →
select an alarm related tab.
2. Set Alarm Outputs for a parameter to Print or All.
◆ Print: records the configured length of waveform data for the parameter automatically. For
information on how to configure the waveform printing length, see Section 12.4.4 Configuring Other
Alarm-Related Items.
◆ All: records the configured length of waveform data for the parameter automatically and sends the
alarm message to corresponding paging device.
10 - 6
11 Viewing Other Patients
11.1 Overview
When there are multiple CentralStations within a LAN, you can observe and review patients at a remote
CentralStation through the other patients feature.
You can also use a CMS viewer or a mobile viewer to view patients at a remote CentralStation. For more
information on the CMS viewer, see BeneVision Central Monitoring System Viewer Operator’s Manual (P/N: 046-
011065-00). For more information on the mobile viewer, see BeneVision Mobile Viewer Operator’s Manual (P/N:
046-011215-00).
11 - 1
NOTE
• Do not select Local. Because Local means the local CentralStation/WorkStation/ViewStation.
NOTE
• Do not select Local. Because Local means the local CentralStation/WorkStation/ViewStation.
5. From the bed list, select the desired bed. A colored block is displayed before bed numbers to indicate
different statuses:
◆ Red: indicates that a high priority alarm is triggered.
◆ Yellow: indicates that a medium priority alarm is triggered.
◆ Cyan: indicates that a low priority alarm is triggered.
NOTE
• If the patient sector is only for overview, clearing that sector only clears the sector. It does not
discharge the patient from the remote CentralStation or clear the patient sector on the remote
CentralStation.
11 - 2
12 System Setup
WARNING
• Changing configuration items may alter the way the CMS performs when monitoring patients. Do
not change anything unless you are aware of the possible consequences, especially if you are
monitoring a patient while in clinical settings.
NOTE
• Many settings in the CentralStation, the WorkStation, and the ViewStation are password protected.
It is recommended to change the default passwords and keep the passwords safe. Passwords should
only be changed by authorized personnel. Contact your department manager or biomedical
engineering department for the passwords used at your facility.
12 - 1
If the CMS system is configured for multiple touchscreens, perform the steps above for the rest of the
touchscreens.
NOTE
• Restart the system after making a change in the screen size.
• The CentralStation, WorkStation, or ViewStation each can connect up to four displays and will check
the number of displays every time it starts. When more than one display is used simultaneously,
they should be the same resolution. The displays support two resolutions: 1280 x 1024 pixels and
1920 x 1080 pixels.
12 - 2
12.3.3.2 Setting Display Layout
When the CentralStation, the WorkStation, or the ViewStation is equipped with four displays, you can select
Display Layout and change the cursor moving mode. The display layout selected should be consistent with the
appearance of your displays.
To select the display layout, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Set Display Layout.
◆ 1 x 4: select this option when four displays are arranged in a line. You can move the cursor from the
current display to its neighboring displays, as shown in Figure 11-1.
◆ 2 x 2: select this option when two displays are stacked on the other two displays. You can move the
cursor from current display to its neighboring displays, as shown in Figure 11-2.
12 - 3
12.3.3.6 Enabling Auto Close ViewBed Screen
To enable closing the Viewbed screen automatically and set the desired closing time, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Set Auto Close ViewBed Screen. Select any option from the list except Never to enable closing the
Viewbed screen automatically.
3. Configure the closing time. If you do not perform any operation after accessing the ViewBed screen within
the configured time, the CMS automatically closes the ViewBed screen and accesses the multibed screen.
NOTE
• The Clear Unlocked Overview Sector After Discharging The Patient option takes effect only when
the patient sector where the overview bed is located is not locked at the current CentralStation, the
WorkStation, or the ViewStation.
12 - 4
12.4 Alarm Tab
In the Alarm tab, you can set alarm-related properties. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.
NOTE
• The alarm volume escalation function is not applied to the latched alarms.
• The Single Bed Alarm Audio Off functionality is applicable for the CMS only and does not affect
alarm sound at the monitoring devices. When alarm sound is set to off at the CMS, ensure that
medical staff is available around monitoring devices and pays close attention to alarm sound
enunciated from the monitoring devices.
• When Global Audio Off by Priority is set to Med &Low or Low, pay close attention to alarm sound
enunciated from remote monitoring devices. Or set Audio Off Priority to Disable at any one of
12 - 5
CentralStation, WorkStation, or ViewStation to ensure that alarm sound for all alarm priorities is
always present.
12 - 6
2. Select the folder symbol under Source File Path to find where the log file is saved.
3. Select the folder symbol under Report File Path to specify where the report is saved.
4. Set other items as desired.
5. Select Analyze to create a report.
NOTE
• You can only export alarm logs for patients that triggered alarms.
• The statistics reports are Microsoft Excel files. Make sure that you have installed Microsoft excel
before using the Mindray Alarm Statistics Tool.
12 - 7
To set a patient location, follow this procedure:
1. On the patient management setup page, select the Location tab.
2. Select the desired locations.
NOTE
• Select the button on the right of the desired shift or care group to edit or delete a shift or care
group.
12 - 8
• When Care Group Setup Mode is set to Auto, the Care Group option on the patient management
screen is grayed out.
NOTE
• Within the LAN, a monitoring device can be admitted to any CentralStation, but can be admitted by
one CentralStation only.
12 - 9
◆ To admit monitoring devices within an IP address range, enter the IP address into the From and To
text boxes respectively. Then select Add.
◆ To admit monitoring devices within a particular department, enter the department name into the
Department text box. Then select Add. The department entered must match the department
entered at the monitoring devices.
Once the eligible monitoring devices are detected, they will be automatically admitted and assigned to the
CentralStation’s multibed screen.
If you wish to cancel an auto admission condition, select the desired condition on the device admission screen,
and then select Delete.
A monitoring device automatically admitted is not bound with a patient sector on the multibed screen. After
discharging a patient, the patient sector is in idle status.
12 - 10
A monitoring device automatically assigned is not bound with a patient sector on the multibed screen. After
discharging a patient, the patient sector is in idle status.
12 - 11
1. On the device management screen, select the Bed List tab.
2. From the bed list, select the beds that need to be deleted. If you wish to delete all the beds, select Select
All.
3. Select Delete.
4. In the Delete Bed dialog box, select OK.
NOTE
• In the Group Setup menu, HR is always displayed in the first row. It cannot be deleted or moved.
12 - 12
5. Input the desired name. The new trend group is displayed in the list of options for Trend Group on the
tabular trends review page and the graphic trends review page.
12 - 13
12.8.1 Accessing the Telemetry Setup Page
To access the telemetry setup page, follow this procedure:
1. Select the system menu area in the upper left corner of the screen → select System Setup to
access the System Setup menu.
2. Select the Telemetry tab → enter the required password → select the OK button.
NOTE
• Changing alarm priorities may affect the latching status of corresponding alarms. Determine if you
need to reset the alarm latching status after changing alarm priorities.
• When the alarm system is reset, latched physiological alarms are cleared.
• Selecting alarms of lower priority simultaneously latches higher priority alarms.
12 - 14
12.8.4 Setting Nurse Call Properties
To set nurse call functions, follow this procedure:
1. On the telemetry setup page, select the Nurse Call tab.
2. Set Nurse Call.
◆ Enable: enables the nurse call function and displays the Nurse Call field on the patient management
screen.
◆ Disable: disables the nurse call function.
3. Set Nurse Call Audio Mode.
WARNING
• Do not rely exclusively on the nurse call system for alarm notification. Remember that the most
reliable alarm notification combines audible and visual alarm indications with the patient’s clinical
condition.
12 - 15
5. Select the OK button to finish programming.
After the programming succeeds, the prompt message “Frequency setup completed successfully” displays and
the frequency of the channel has been changed successfully.
12 - 16
◆ Select the Free Channel button. The Free Channel windows displays. You can select the channel you
want to free. After selecting the desired channel, select the Free Channel button.
3. Select the Program button. When the window asking “Are you sure you want to program the wireless
device?” displays, select OK. Then the frequency will be set automatically. After successfully programing
the telepacks, the prompt message “Program Successfully” displays.
12 - 17
◆ Support Monitor Remote View: after bedside monitors and telemetry devices are admitted by the
CentralStation, if the bedside monitors support the remote view functionality, you can view other
bedside monitors or telemetry devices in the bedside monitors’ remote view window.
◆ CMS Sending Broadcast Data: this function is used when you view telemetry data on the bedside
monitor screen. For the bedside monitor which only supports broadcast mode, you must select the
check box before CMS Sending Broadcast Data.
5. In the Multicast Setup section, set Multicast Address and Multicast TTL values. These values are used for
communication between a CentralStation and monitoring devices, between different Centralstations, and
between a CentralStation and WorkStation, ViewStation, or CMS Viewer.
6. In the Information Security section, set Encryption Connection Type when connecting devices:
◆ Only Private Encryption: Mindray private encryption is used to encrypt the transmitted data. You
cannot connect devices supporting SSL (secure sockets layer) encryption.
◆ SSL Encryption Priority: for devices supporting SSL encryption, SSL encryption is used when
connecting the devices. For devices not supporting SSL encryption, private encryption is used when
connecting the devices.
7. In the Information Security section, enable or disable Broadcast Patient Demographics.
◆ Enabled: After monitoring devices are connected to the CentralStation, they can send device
information and patient data such as patient name to the CentralStation.
◆ Disabled: After monitoring devices are connected to the CentralStation, they can send device
information to the CentralStation only.
NOTE
• Restart the system after making a change in the General tab.
12 - 18
12.9.4.1 Installing and Setting eGateway
To install eGateway, follow this procedure:
1. On the network setup page, select the eGateway tab.
2. Select Install eGateway.
3. Proceed according to instructions in the installation wizard.
To set eGateway, follow this procedure:
1. On the network setup page, select the eGateway tab.
2. Select eGateway Setup.
3. Set the desired items.
For information on detailed installation procedures and instructions for use, see eGateway Integration Manager
Installation Guide (PN: 046-002447-00).
NOTE
• Upon completion of eGateway installation, the CMS will shut down and the operating system will be
restarted.
12 - 19
4. Enable or disable Export PDF Report. When it is enabled, When a PDF report containing patient
information is being printed, the EMR will be notified.
5. In the Server Address text box, enter the IP address or name of the eGateway. IP Address is automatically
acquired from Server Address.
6. Set Port. The port must be consistent with that for the eGateway. Upon completion of settings, connection
status between the current station and eGateway is displayed on the right of Connection Status.
NOTE
• It is recommended that the password be changed by authorized personnel.
12 - 20
12.9.8 Setting the AP Management Tab
In the AP Management tab, you can import the desired AP information into the CentralStation and configure
patient movement area. This tab is available at the CentralStation only.
NOTE
• Location refers to the one listed in the Location column of AP List.
12.9.9 MLDAP
MLDAP refers to Mindray LDAP (Lightweight Directory Access Protocol). It is an independent process which can
be installed on eGateway or other application server (Windows). MLDAP provides user identity and
authentication.
The MLDAP server is connected with the hospital LDAP server. All monitoring devices are connected to the
MLDAP server to implement identity and authentication for the following operations:
This tab is available at the CentralStation, the WorkStation, and the ViewStation.
12 - 21
12.9.10 Installing and Setting Mobile Server
Mobile Server provides monitoring data to the Mobile Viewer and acts as an interface to the CMS. In the
MobileServer tab, you can install and set Mobile Server. This tab is available at the CentralStation Only.
NOTE
• PDF reports can be output by PDFCreator only.
12 - 22
12.10.3 Setting Scheduled Reports
In the Scheduled Report tab, you can set whether to enable scheduled printing of reports. Contents in the
reports can be customized for each bed in the Print Setup menu. For more information on the Print Setup
menu, see Section 9.5.4 Setting Scheduled Reports.
To enable scheduled printing, follow this procedure:
1. On the print setup page, select the Scheduled Report tab.
2. Enable Scheduled Report Switch.
3. Set Time. Select the time to start printing automatically.
4. Under Scheduled Report Interval, select the desired printing interval.
◆ For tabular trends reports, graphic trends reports, event reports, and 12-lead interpretation reports,
data within the selected scheduled report interval before the printing start time will be printed. For
example, when Scheduled Report Interval is set to 2 hrs, 2-hour data before the printing start time
will be printed.
◆ For arrhythmia statistics reports, when Scheduled Report Interval is set to 24 hrs or 12 hrs, data
within the recent 24 hours or 12 hours before the printing start time will be printed. When it is set to 8
hrs, 4 hrs, 2 hrs, or 1 hrs, data within the recent 8 hours before the printing start time will be printed.
◆ For alarm limits reports: alarm limits at the printing start time will be printed.
◆ For realtime reports: realtime data at the printing start time. will be printed.
5. Select the desired report type. Only the selected reports can be printed at the scheduled report interval.
6. Select Print Now if you wish to start printing immediately regardless of the configured printing start time.
12 - 23
1. On the print setup page, select the PDF File Name tab.
2. Select the desired items under PDF File Name.
3. In the File Path text box, enter the directory where PDF files are saved.
4. In the User Name text box and the Password text box, enter the user name and password to access the
directory where PDF files are saved.
5. Select Confirm.
NOTE
• The directory must be consistent with the file saving directory configured in the PDFCreator.
12 - 24
12.11.2 Setting Telemetry Configurations
In the Telemetry Configuration tab, you can save the measurement settings and alarm settings of the selected
bed as configuration items. These configuration items can be loaded to other telemetry devices. For details on
how to load these configuration items, see Section 3.5.9 Loading Configurations for Telemetry Devices.This tab is
available at the CentralStation only.
To save telemetry configuration items, follow this procedure:
1. On the configuration setup page, select the Telemetry Configuration tab.
2. Select the desired bed for Select Bed.
3. Select the Save Telemetry Configuration button. The Save Telemetry Configuration dialog box is
displayed.
4. Select the department which the saved bed configuration is applicable to.
5. Select OK.
12 - 25
■ Enter a telemetry device’s name
12 - 26
To set units, follow this procedure:
1. On the other setup page, select the Integrated Devices Unit tab.
2. Set the desired units.
◆ 60
Framingham: QTc = QT + 154 × 1 – -----------------------------
HeartRate
4. Set ECG Standard.
WARNING
• When the CMS software is running, do not change the operating system time. If the operating
system time must be changed, do not change the operating system time directly. Instead, change
the CMS system time according to instructions in this section.
NOTE
• After the CentralStation time is changed, the networked monitor system time will be synchronized
to match the CentralStation system time.
• When a monitor is connected to the CentralStation, the monitor system time will be synchronized to
match the CentralStation system time.
• The CentralStation will synchronize the time of the networked monitors at start of every hour.
12 - 27
12.12.6 Setting Authorization Setup
NOTE
• It is recommended that the password be set by authorized personnel.
12 - 28
◆ Read Only: at the CentralStation/WorkStation, you can only view alarm settings of the monitors or
telemetry devices.
◆ Local Password: at the CentralStation/WorkStation, you need to enter the correct local password
before performing alarm-related settings for the monitors and telemetry devices. If you wish to
change the local password,select Modify Local Password.
◆ User Password: at the CentralStation/WorkStation, you need to enter user name and password saved
in the MLDAP server before performing alarm-related settings for the monitors and telemetry devices.
NOTE
• If the language you selected is inconsistent with that of the operating system, unrecognizable
characters may appear on the CMS. If this occurs, change the operating system language and region
settings by following the operating system operator’s manual.
12 - 29
6. Enable or disable Synchronize Location to Telemetry/Monitor. When it is enabled, after a patient is
discharged from a telemetry device or patient monitor, if the hospital and department information of this
telemetry device or patient monitor is blank, the CMS will send these pieces of information of its own to the
telemetry device or patient monitor.
12 - 30
13 Maintenance
13.1 Overview
Regular maintenance is essential to ensure that the CMS functions properly.
WARNING
• Failure on the part of the responsible individual hospital or institution using the CMS to implement
a recommended maintenance schedule may cause undue equipment failure and possible health
hazards.
• The safety checks or maintenance involving any disassembly of the CMS should be performed by
professional service personnel. Otherwise, undue equipment failure and possible health hazards
could result.
• The service personnel must be properly qualified and thoroughly familiar with the operation of the
CMS.
• Turn off the CMS if no patients are to be centrally monitored.
• Restart the CMS every three months. Long time operation of the system may lead to a failure of the
operating system.
• When the CMS is restarting, patient data will not be stored. To prevent any data loss, only restart
your system when patients are not monitored.
• Disinfection or sterilization may cause damage to the equipment. Therefore, when preparing to
disinfect or sterilize the equipment, consult your hospital’s Infection Control Officer or
Epidemiologist.
• Check the equipment after disinfection. If there is any sign of damage, remove it from use.
CAUTION
• If needed, contact Mindray for information concerning the repair of the CMS.
• All servicing and future upgrades must be carried out by the service personnel trained and
authorized by Mindray.
• Make sure that the CMS operating environment meets the specific requirements. Otherwise,
unexpected consequences, e.g. damage to the equipment, could result.
• When disposing of the packaging material, be sure to observe the applicable waste control
regulations and keep it out of children’s reach.
• At the end of its service life, the CMS must be disposed of in compliance with the guidelines
regulating the disposal of such products. If you have any questions concerning disposal of the
equipment, please contact Mindray.
13 - 1
13.3 General Inspection
Whenever your system is first installed, repaired, upgraded or has been used for 6 to 12 months, a thorough
inspection should be performed by qualified service personnel to ensure its reliability.
Follow these guidelines:
■ Inspect the equipment and its accessories for mechanical damage.
■ Make sure that the environment and power supply meet the specific requirements.
■ Inspect all power cords and signal lines for fraying or other damages, and ensure that they are properly
connected and insulated.
■ Ensure that the sound system functions normally.
■ Ensure that each function of the system is in good condition.
In case of any damage or abnormality, do not use the CMS. Contact your hospital biomedical engineers or
Mindray service personnel immediately.
13.4 Cleaning
Your equipment should be cleaned on a regular basis. If you are in an area that is heavily polluted or dusty, the
equipment should be cleaned more frequently.
The equipment to be cleaned includes the host, displays, printer, keyboard, and mouse.
CAUTION
• Shut down the system and disconnect all power cords from the outlet before cleaning the
equipment.
• Take extra care when cleaning the screen because it is more sensitive to rough cleaning method than
the housing.
• When cleaning the mouse, keyboard, or other peripheral devices, disconnect them from the CMS.
• Never immerse any part of the CMS in liquids or allow liquid to enter the interior.
• Do not pour or spray any liquid directly on the equipment or accessories or permit fluid to seep into
the casing, connectors, switches, or any ventilation openings. If you spill liquid on the equipment or
accessories, disconnect the power supply, dry the equipment, and contact your service personnel.
• Check the equipment after cleaning. If there is any sign of damage, remove it from use.
For the best performance, it is recommended that the CMS touch screen be kept clean. Observe the following
precautions when cleaning the touch screen:
■ Always remember to use a cloth or towel to apply glass cleaner to the touch screen.
■ Any standard glass cleaner can be used to clean the touch screen. DO NOT use abrasive cleaning materials
to clean a touch screen. DO NOT use alcohol or solvents containing chlorinated hydrocarbons.
■ Remove fingerprints and stains by using a liquid lens cleaner and a soft cloth.
■ Use a fine soft-hair brush to carefully brush away dust and dirt particles.
CAUTION
• To avoid potential system issues, deactivate the touch screen before cleaning.
• DO NOT spray glass cleaner directly on a display as it could possibly leak inside a non-sealed unit
and cause damage.
• Follow your hospital protocol for handling of blood and body fluids.
13 - 2
A Technical Specifications
A.1 Requirements
The computer of the CMS should be highly reliable and stable. The recommended configurations are as follows:
Components Requirements
System Meet the IEC60950 requirements defined for ITE equipment and comply
with CE low voltage directives (LVD) and EMC directives.
Host CentralStation
■ CPU: 4 cores and 2.9 GHz minimum
■ Memory: 4GB minimum
■ Hard disk: 500 GB minimum, supporting data redundancy by dual
hard disks
■ Network adapter: 100M (minimum) self-adapting, Ethernet 802.3
■ USB ports: two or more
■ Serial ports: one or more
WorkStation and ViewStation
■ CPU: dual cores and 2.0 GHz minimum
■ Memory: 2GB minimum
■ Hard disk: 100 GB minimum, supporting data redundancy by dual
hard disks
■ Network adapter: 100M (minimum) self-adapting, Ethernet 802.3
■ USB ports: two or more
■ Serial ports: one or more
A-1
NOTE
• The configurations above are for reference only.
• When the CentralStation and eGateway are installed on the same host, the host needs to further
meet these requirements: CPU: Intel Core i5 microprocessor or above or its equivalent; memory:
16GB minimum; network adapter: 1000M minimum.
CentralStation 32
WorkStation 32
ViewStation 32
1280×1024 16
1920×1080 32
A.6 Review
Dynamic short trend Most recent 8 hours of minitrends for all parameters
Trend review Most recent 240 hours of tabular trends and graphic trends for all parameters
A-2
C.O. review Most recent 720 C.O. measurements
Most recent 3000 events, including the parameter name and 16-second
Event review
waveforms before and after an alarm is triggered
Most recent 720 12-lead analysis results, 12 analysis waveforms for each
12-lead Review
analysis result
A.7 Calculation
The CMS supports the following calculations:
■ Drug calculation
■ Hemodynamic calculation
■ Oxygenation calculation
■ Ventilation calculation
■ Renal calculation
A.8 Print
A.9 Recorder
Paper width 50 mm
A-3
A.10 Data Export
Note:
1
: For more information, please contact Mindray.
A-4
B CMS Alarm Messages
B.1 Overview
This chapter only lists technical alarms coming from the CentralStation, the WorkStation, or the ViewStation.
For physiological and technical alarm messages from monitoring devices, see appropriate operator’s manuals for
these devices.
Sound Card Error High Replace the computer with a known good one.
The patient data storage Medium This alarm is available at the CentralStation only.
space is nearly full. Please The discharged patient storage space is nearly full. Please delete some
delete some discharged discharged patients.
patients. Note: The alarm priority is configurable. For information on changing
the alarm priority, see Section 12.5.4 Setting Discharged Patients.
The patient data storage Medium The discharged patient storage space is full. The earliest discharged
space is full. The earliest patients will be deleted automatically.
data will be deleted.
Station (Department), Low Check the connection between the WorkStation and the
Network Disconnected CentralStation or between the ViewStation and the CentralStation.
Note: The “(Department)” in the alarm message refers to the
department where the WorkStation or the ViewStation is located. The
alarm priority is configurable in the System Setup Menu. For details,
see Section 12.4.4 Configuring Other Alarm-Related Items.
eGateway Low Check the connection between the eGateway and the CentralStation.
Communication Lost Note: The alarm priority is configurable in the System Setup Menu. For
details, see Section 12.4.4 Configuring Other Alarm-Related Items.
Disk array error. Please Low Contact your service personnel and replace the faulty one with a
check. known good one.
Time Server Unavailable Low Check the time synchronization settings and check that the external
time server works properly.
No bed is online. Please Prompt This alarm is available at the CentralStation only.
check network Check whether the patient monitor is connected to the network.
connection.
Bed No. conflicts. Please Prompt Check the bed numbers of all the monitoring devices. If the same bed
check. number is found, change it to a different bed number.
Recorder Head Hot: Prompt Wait till the thermal printer head cools down and this prompt
Please Wait disappears. Then the recorder can work properly.
Recorder Unavailable Prompt Power off the recorder and restart the recorder. Then select Reset
RecordService on the CMS. For details, see Section 12.10.8 Setting the
Recorder Initializing Prompt Recorder.
Recorder Comm Error Prompt Check the connection cable of the recorder serial port.
B-1
Alarm Message Default Priority Cause and Solution
No RF Signal Low The telemetry device is disconnected from the CentralStation network.
Please check.
B-2
C Default Settings
C.1 Overview
This chapter only describes default settings in the System Setup menu at the CentralStation, the WorkStation,
and the ViewStation. For the default settings of monitoring devices monitored at the CMS, see appropriate
operator’s manuals for these devices. For details on how to access the System Setup menu, see Chapter 12
System Setup.
“All” in the “Available At” column of the following tables indicates that this function is available at the
CentralStation, the WorkStation, and the ViewStation.
“/” in the following tables indicates that this item is not configurable.
Reminder Volume 5
C-1
C.3 Display Tab
Sort By Bed No
ST
Arrhy Statistics
Drug Calculation
Hemo Calculation
Oxygenation Calculation
Ventilation Calculation
Renal Calculation
C-2
C.4 Alarm Tab
Paging Service On
Support Communication
Message
No offline alarm if On
patient discharged
C-3
C.5 Patient Management Tab
Room No
Middle Name
Race
Age
Facility
Department
Patient Group
Custom Field 1 to 4
Patient ID Selected
Department
Room No
Bed No
Visit Number
Patient ID
Alarm on storage is
nearly full
Location 2 X-Ray
Location 3 MRI
Location 4 CT Scan
Location 5 Ultrasound
Location 6 Hemodislysis
Location 7 OR
Location 8 Therapy
Group 1 to 16 Selected
C-4
Subtab Item Default Available At
V-Fib
V-Fib/V-Tach
V-Tach
Vent Brady
Extreme Tachy
Extreme Brady
PVCs/min High
Vent Rhythm
R on T
Multiform PVC
Pauses/min High
Run PVCs
Couplet
PVC
Bigeminy
Trigeminy
Tachy
Brady
Missed Beats
Nonsus V-Tach
Pause
A-Fib
Irr Rhythm
C-5
Subtab Item Default Available At
No RF Signal Med
C-6
Subtab Item Default Available At
Department General
C-7
C.9 Print Tab
Printer Blank
Time 08:00
Patient Category
DOB
Gender
Patient ID
Bed No
Height/Weight
Paced
Patient Name
Age
Gender
Title
Printing Time
C-8
C.10 Other Tab
Weight Unit kg
ST Unit mV
Hb Unit g/dl
CO2 Unit
O2 Unit %
Temp Unit °C
TcpCO2/tcpO2 Unit
24-Hour Time On
C-9
Subtab Item Default Available At
Transfer Patient
Discharge Patient
Standby
C - 10
Subtab Item Default Available At
C - 11
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C - 12
D Units, Symbols and Abbreviations
D.1 Units
Abbreviation Full Form
μA microampere
μV microvolt
μs Microsecond
A ampere
Ah ampere hour
ºC centigrade
cc cubic centimeter
cm centimeter
cmH2O cmH2O
dB decibel
DS dyne second
ºF fahrenheit
g gram
GB giga bytes
GHz gigahertz
GTT gutta
h hour
hPa hPa
Hz hertz
" inch
k kilo
kg kilogram
kPa kilopascal
L litre
lb pound
m meter
mbar mbar
M mega
MB mega byte
D-1
Abbreviation Full Form
mcg microgram
mEq milli-equivalents
mg milligram
min minute
ml milliliter
mm millimeter
ms millisecond
mV millivolt
mW milliwatt
MΩ megaohm
nm nanometer
s second
V volt
VA volt ampere
Ω ohm
W watt
D.2 Symbols
Symbol Explanation
- minus
- negative
% percent
/ per; divide; or
~ to
+ plus
= equal to
< less than
> greater than
± plus or minus
× multiply
© copyright
D-2
D.3 Abbreviations
Abbreviation In Full
AC alternating current
ADT Admission\Discharge\Transfer
Adu adult
AG anaesthesia gas
Ao aortic pressure
Art arterial
AUX Auxiliary
BC burst count
BL baseline
BT blood temperature
CE Conformité Européenne
COHb carboxyhemoglobin
D-3
Abbreviation In Full
Compl compliance
DC direct current
Des desflurane
Dia diastolic
ECG electrocardiograph
EEG electroencephalogram
EMG electromyograph
Enf enflurane
Et end-tidal
EtEnf
EtHal
EtIso
EtSev
D-4
Abbreviation In Full
Fi fraction of inspired
FiEnf
FiHal
FiIso
FiSev
Flow flow
FV flow-volume
Hal halothane
Hb hemoglobin
Hct haematocrit
HR heart rate
D-5
Abbreviation In Full
ID identification
IP internet protocol
Iso isoflurane
LA left arm
LL left leg
MetHb methemoglobin
MV minute volume
N2 nitrogen
Neo neonate
O2 oxygen
D-6
Abbreviation In Full
OR operating room
PA pulmonary artery
Ped pediatric
Pleth plethysmogram
PR pulse rate
RA right arm
Resp respiration
RL right leg
RM respiratory mechanics
RQ respiratory quotient
RR respiration rate
D-7
Abbreviation In Full
Sev sevoflurane
SI stroke index
SR suppression ratio
SV stroke volume
Sync synchronization
TB Blood Temperature
TD temperature difference
Temp temperature
TI injectate temperature
TP total power
TV tidal volume
VI velocity index
D-8
Abbreviation In Full
VT Tidal volume
D-9
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D - 10
P/N: 046-010879-00 (9.0)