H 046 010879 00 BeneVision CMS Operators Manual R3 9.0

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BeneVision

Central Monitoring System

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.

, , and are the registered trademarks or trademarks owned by Mindray in China


and other countries. All other trademarks that appear in this manual are used only for editorial purposes without
the intention of improperly using them. They are the property of their respective owners.
This posting serves as notice under 35 U.S.C.§287(a) for Mindray patents: http://www.mindrayna.com/patents.

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.

Address Mindray Building,Keji 12th Road South,High-tech industrial


park,Nanshan,Shenzhen 518057,P.R.China

Website www.mindray.com

E-mail Address: [email protected]

Tel: +86 755 81888998

Fax: +86 755 26582680

Distributor: Mindray DS USA, Inc.

Address: 800 MacArthur Boulevard, Mahwah, New Jersey, 07430 USA

Tel: 1.800.288.2121, 1.201.995.8000

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

1.1 Safety Information ..........................................................................................................................................................................................1 - 1


1.1.1 Warnings ..............................................................................................................................................................................................1 - 1
1.1.2 Cautions ................................................................................................................................................................................................1 - 2
1.1.3 Notes ......................................................................................................................................................................................................1 - 3
1.2 Equipment Symbols .......................................................................................................................................................................................1 - 3

2 System Overview ............................................................................................................................................................... 2 - 1

2.1 Intended Use .....................................................................................................................................................................................................2 - 1


2.2 Contraindications ............................................................................................................................................................................................2 - 1
2.3 System Components ......................................................................................................................................................................................2 - 2
2.3.1 CentralStation .....................................................................................................................................................................................2 - 2
2.3.2 WorkStation .........................................................................................................................................................................................2 - 3
2.3.3 ViewStation .........................................................................................................................................................................................2 - 3
2.3.4 CMS Viewer ..........................................................................................................................................................................................2 - 3
2.3.5 Computer Platform ...........................................................................................................................................................................2 - 3
2.3.6 License ...................................................................................................................................................................................................2 - 3
2.3.7 Network Device ..................................................................................................................................................................................2 - 4
2.3.8 Remote Display and Data Transmission Device .....................................................................................................................2 - 4
2.3.9 Recorder ...............................................................................................................................................................................................2 - 4
2.3.10 Printer ..................................................................................................................................................................................................2 - 4
2.4 Networking Mode ...........................................................................................................................................................................................2 - 4
2.4.1 Bedside Device Network .................................................................................................................................................................2 - 5
2.4.2 CMS Network ......................................................................................................................................................................................2 - 6

3 Getting Started .................................................................................................................................................................. 3 - 1

3.1 Overview .............................................................................................................................................................................................................3 - 1


3.2 Equipment Preparation Safety Information ..........................................................................................................................................3 - 1
3.3 Turning On the System ..................................................................................................................................................................................3 - 1
3.4 Multibed Screen ...............................................................................................................................................................................................3 - 2
3.4.1 Example Multibed Screen ..............................................................................................................................................................3 - 2
3.4.2 Symbols on the Multibed Screen ................................................................................................................................................3 - 3
3.4.3 Patient Sector Status ........................................................................................................................................................................3 - 5
3.4.4 Patient Sector in the Monitoring State ......................................................................................................................................3 - 5
3.4.5 Sorting Patient Sectors ....................................................................................................................................................................3 - 7
3.4.6 Patient Summary ...............................................................................................................................................................................3 - 7
3.5 ViewBed Screen ................................................................................................................................................................................................3 - 8
3.5.1 Accessing the ViewBed Screen .....................................................................................................................................................3 - 8
3.5.2 Example ViewBed Screen .............................................................................................................................................................. 3 - 9
3.5.3 Changing ViewBed Screen Settings ........................................................................................................................................ 3 - 10
3.5.4 Displaying the Parameter List .................................................................................................................................................... 3 - 10
3.5.5 Quick Keys ......................................................................................................................................................................................... 3 - 11
3.5.6 SpO2 Statistics ................................................................................................................................................................................. 3 - 12
3.5.7 Starting/Stopping NIBP Measurement ................................................................................................................................... 3 - 13
3.5.8 Freezing/Unfreezing Waveforms .............................................................................................................................................. 3 - 13
3.5.9 Loading Configurations for Telemetry Devices ................................................................................................................... 3 - 14

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

4 Patient Management ........................................................................................................................................................ 4 - 1

4.1 Patient Management Overview .................................................................................................................................................................4 - 1


4.2 Admitting Monitoring Devices at the CentralStation ........................................................................................................................4 - 1
4.2.1 Automatically Admitting Monitoring Devices ........................................................................................................................4 - 1
4.2.2 Manually Admitting Monitoring Devices .................................................................................................................................4 - 1
4.3 Assigning Monitoring Devices from the Host CentralStation to the WorkStation/Viewstation .........................................4 - 2
4.4 Assigning an Overview Bed to a Patient Sector ...................................................................................................................................4 - 3
4.5 Connecting a Patient Monitor with a Telemetry Device ...................................................................................................................4 - 3
4.5.1 Connecting Procedures ..................................................................................................................................................................4 - 3
4.5.2 Disconnecting a Patient Monitor with a Telemetry Device ...............................................................................................4 - 3
4.6 Accessing the Patient Management Screen ..........................................................................................................................................4 - 3
4.7 Patient Information Management ............................................................................................................................................................4 - 4
4.7.1 Entering Patient Information ........................................................................................................................................................4 - 4
4.7.2 Changing Patient Information ......................................................................................................................................................4 - 5
4.7.3 Searching Patient Information .....................................................................................................................................................4 - 5
4.7.4 Patient Information Synchronization .........................................................................................................................................4 - 6
4.8 Discharging A Patient ....................................................................................................................................................................................4 - 6
4.9 Transferring Patient Data .............................................................................................................................................................................4 - 6
4.10 Discharged Patients Management .........................................................................................................................................................4 - 7
4.10.1 Accessing the Discharged Patients Management Screen ...............................................................................................4 - 7
4.10.2 Viewing Discharged Patient Information ...............................................................................................................................4 - 7
4.10.3 Deleting Discharged Patient Information ..............................................................................................................................4 - 7
4.10.4 Printing Historical Data of Discharged Patients ..................................................................................................................4 - 8

5 Alarms ................................................................................................................................................................................ 5 - 1

5.1 Alarm Introduction .........................................................................................................................................................................................5 - 1


5.2 Understanding the Alarms ...........................................................................................................................................................................5 - 1
5.2.1 Alarm Categories ...............................................................................................................................................................................5 - 1
5.2.2 Alarm Priorities ...................................................................................................................................................................................5 - 1
5.2.3 Alarm Indicators .................................................................................................................................................................................5 - 2
5.2.4 Alarm Status Symbols ......................................................................................................................................................................5 - 3
5.3 Viewing Alarms ................................................................................................................................................................................................5 - 3
5.3.1 Viewing All Alarms ............................................................................................................................................................................5 - 3
5.3.2 Viewing Alarms Triggered from A Single Monitoring Bed .................................................................................................5 - 3

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

6.1 Overview .............................................................................................................................................................................................................6 - 1


6.2 Accessing the Review Screen ......................................................................................................................................................................6 - 1
6.2.1 Entering the Review Screen for Online Patients ....................................................................................................................6 - 1
6.2.2 Entering the Review Screen for Discharged Patients ...........................................................................................................6 - 1
6.3 Example Review Page Structure ................................................................................................................................................................6 - 2
6.4 Symbols on Review Pages ............................................................................................................................................................................6 - 3
6.5 Common Operations on Review Pages ...................................................................................................................................................6 - 3
6.5.1 Browsing Trend Data .......................................................................................................................................................................6 - 3
6.5.2 Viewing Events ...................................................................................................................................................................................6 - 3
6.5.3 Displaying Two Review Pages Simultaneously ......................................................................................................................6 - 4
6.6 Tabular Trends Review Page .......................................................................................................................................................................6 - 4
6.6.1 Entering the Tabular Trends Review Page ...............................................................................................................................6 - 4
6.6.2 Configuring Trends ...........................................................................................................................................................................6 - 4
6.6.3 Printing a Tabular Trends Report .................................................................................................................................................6 - 4
6.6.4 Exporting Trend Data .......................................................................................................................................................................6 - 5
6.7 Graphics Trends Review Page .....................................................................................................................................................................6 - 6
6.7.1 Entering the Graphic Trends Review Page ...............................................................................................................................6 - 6
6.7.2 Setting Graphic Trends ....................................................................................................................................................................6 - 6
6.7.3 Printing a Graphic Trends Report ................................................................................................................................................6 - 6
6.7.4 Exporting Trend Data .......................................................................................................................................................................6 - 7
6.8 Full Disclosure Review Page ........................................................................................................................................................................6 - 7

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

7.1 Calculation Overview .....................................................................................................................................................................................7 - 1


7.2 Calculation Safety Information ...................................................................................................................................................................7 - 1
7.3 Accessing the Calculation Screen ..............................................................................................................................................................7 - 1
7.4 Drug Calculations ............................................................................................................................................................................................7 - 2
7.4.1 Performing Drug Calculations ......................................................................................................................................................7 - 2
7.4.2 Viewing a Titration Table ................................................................................................................................................................7 - 2
7.4.3 Printing a Titration Table ................................................................................................................................................................7 - 2
7.4.4 Drug Calculation Formula ..............................................................................................................................................................7 - 3
7.4.5 Titration Table Calculation Formula ...........................................................................................................................................7 - 3
7.5 Hemodynamic Calculations .........................................................................................................................................................................7 - 3
7.5.1 Performing Hemodynamic Calculations ...................................................................................................................................7 - 3
7.5.2 Viewing Hemodynamic Calculation Results ............................................................................................................................7 - 4
7.5.3 Printing Hemodynamic Calculation Results ............................................................................................................................7 - 4
7.5.4 Input Parameters for Hemodynamic Calculations ................................................................................................................7 - 4
7.5.5 Calculated Parameters and Formulas for Hemodynamic Calculations .........................................................................7 - 4
7.6 Oxygenation Calculations ............................................................................................................................................................................7 - 5
7.6.1 Performing Oxygenation Calculations ......................................................................................................................................7 - 5
7.6.2 Viewing Oxygenation Calculation Results ...............................................................................................................................7 - 5

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

8.1 Overview .............................................................................................................................................................................................................8 - 1


8.2 Accessing the Paging Window ...................................................................................................................................................................8 - 1
8.3 Adding a Pager .................................................................................................................................................................................................8 - 1
8.4 Assigning a Bed to a Pager ...........................................................................................................................................................................8 - 2
8.4.1 Assigning an Online Bed to a Pager ...........................................................................................................................................8 - 2
8.4.2 Assigning a Manually Input Bed to a Pager .............................................................................................................................8 - 2
8.5 Removing a Bed Assignment ......................................................................................................................................................................8 - 2
8.6 Editing a Pager .................................................................................................................................................................................................8 - 2
8.7 Removing a Pager ...........................................................................................................................................................................................8 - 2
8.8 Resending a Failed Page ...............................................................................................................................................................................8 - 3
8.9 Generating a Paging Report ........................................................................................................................................................................8 - 3

9 Printing ............................................................................................................................................................................... 9 - 1

9.1 Supported Printers ..........................................................................................................................................................................................9 - 1


9.2 Starting Printing ...............................................................................................................................................................................................9 - 1
9.2.1 Manually Starting Printing .............................................................................................................................................................9 - 1
9.2.2 Automatically Starting Printing ...................................................................................................................................................9 - 5
9.3 Stopping Printing ............................................................................................................................................................................................9 - 5
9.4 Viewing Printer Statuses ...............................................................................................................................................................................9 - 6
9.5 Configuring Reports .......................................................................................................................................................................................9 - 6
9.5.1 Accessing the Print Setup Menu ..................................................................................................................................................9 - 6
9.5.2 Setting Realtime Reports and ECG Reports .............................................................................................................................9 - 6
9.5.3 Setting End Case Reports ...............................................................................................................................................................9 - 7
9.5.4 Setting Scheduled Reports ............................................................................................................................................................9 - 9
9.6 Printer Out of Paper ........................................................................................................................................................................................9 - 9

10 Recording .......................................................................................................................................................................10 - 1

10.1 Supported Recorders ................................................................................................................................................................................ 10 - 1


10.2 Loading Paper ............................................................................................................................................................................................. 10 - 3
10.2.1 Loading Paper for the TR6-B Recorder ................................................................................................................................. 10 - 3

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

11 Viewing Other Patients .................................................................................................................................................11 - 1

11.1 Overview ....................................................................................................................................................................................................... 11 - 1


11.2 Network Settings and Bed Authorization for Remote View ....................................................................................................... 11 - 1
11.3 Viewing Other Patients ............................................................................................................................................................................ 11 - 1
11.3.1 Assigning an Overview Bed to a Patient Sector ................................................................................................................ 11 - 1
11.3.2 Viewing a Bed Temporarily through the Bed List ............................................................................................................ 11 - 2
11.4 Clearing an Overview Bed ....................................................................................................................................................................... 11 - 2

12 System Setup .................................................................................................................................................................12 - 1

12.1 System Setup Overview ........................................................................................................................................................................... 12 - 1


12.2 General Tab .................................................................................................................................................................................................. 12 - 1
12.2.1 Accessing the General Setup Page ........................................................................................................................................ 12 - 1
12.2.2 Adjusting Alarm Volumes ......................................................................................................................................................... 12 - 1
12.2.3 Viewing System Help Information ......................................................................................................................................... 12 - 1
12.2.4 Calibrating the Screen ................................................................................................................................................................ 12 - 1
12.2.5 Resetting the Recorder Service ............................................................................................................................................... 12 - 2
12.3 Display Tab ................................................................................................................................................................................................... 12 - 2
12.3.1 Accessing the Display Setup Page ......................................................................................................................................... 12 - 2
12.3.2 Setting Parameter Colors .......................................................................................................................................................... 12 - 2
12.3.3 Screen Setup .................................................................................................................................................................................. 12 - 2
12.3.4 Setting Sectors .............................................................................................................................................................................. 12 - 4
12.3.5 Setting Patient Window ............................................................................................................................................................ 12 - 4
12.3.6 Setting Other Display Items ..................................................................................................................................................... 12 - 4
12.4 Alarm Tab ...................................................................................................................................................................................................... 12 - 5
12.4.1 Accessing the Alarm Setup Page ........................................................................................................................................... 12 - 5
12.4.2 Configuring Alarm Audio Properties .................................................................................................................................... 12 - 5
12.4.3 Setting Paging-Related Alarm Properties ........................................................................................................................... 12 - 6
12.4.4 Configuring Other Alarm-Related Items ............................................................................................................................. 12 - 6
12.4.5 Exporting the Alarm Log ........................................................................................................................................................... 12 - 6
12.5 Patient Management Tab ....................................................................................................................................................................... 12 - 7
12.5.1 Accessing the Patient Management Page .......................................................................................................................... 12 - 7
12.5.2 Configuring Patient Fields ........................................................................................................................................................ 12 - 7
12.5.3 Setting ADT Query ....................................................................................................................................................................... 12 - 7
12.5.4 Setting Discharged Patients .................................................................................................................................................... 12 - 7
12.5.5 Setting Patient Location ............................................................................................................................................................ 12 - 7
12.5.6 Setting Patient Group ................................................................................................................................................................ 12 - 8
12.5.7 Setting Care Groups .................................................................................................................................................................... 12 - 8
12.5.8 Setting Other Patient Information Items ............................................................................................................................. 12 - 9
12.6 Device Management Tab ........................................................................................................................................................................ 12 - 9

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

13.1 Overview ....................................................................................................................................................................................................... 13 - 1


13.2 Maintenance Safety Information .......................................................................................................................................................... 13 - 1
13.3 General Inspection .................................................................................................................................................................................... 13 - 2
13.4 Cleaning ........................................................................................................................................................................................................ 13 - 2

A Technical Specifications ....................................................................................................................................................A - 1

A.1 Requirements .................................................................................................................................................................................................. A - 1


A.2 Audio Signals ................................................................................................................................................................................................... A - 2
A.3 Maximum Number of Monitoring Devices ........................................................................................................................................... A - 2
A.4 Maximum Number of Patient Sectors on the Multibed Screen .................................................................................................... A - 2
A.5 Wired Network ................................................................................................................................................................................................ A - 2
A.6 Review ................................................................................................................................................................................................................ A - 2
A.7 Calculation ........................................................................................................................................................................................................ A - 3
A.8 Print ..................................................................................................................................................................................................................... A - 3
A.9 Recorder ............................................................................................................................................................................................................ A - 3
A.10 Data Export .................................................................................................................................................................................................... A - 4

B CMS Alarm Messages ........................................................................................................................................................B - 1

B.1 Overview ............................................................................................................................................................................................................ B - 1


B.2 Alarm Messages in the System Alarm Area .......................................................................................................................................... B - 1
B.3 Alarm Messages in Patient Sectors .......................................................................................................................................................... B - 2

C Default Settings .................................................................................................................................................................C - 1

C.1 Overview ........................................................................................................................................................................................................... C - 1


C.2 General Tab ...................................................................................................................................................................................................... C - 1
C.3 Display Tab ....................................................................................................................................................................................................... C - 2
C.4 Alarm Tab .......................................................................................................................................................................................................... C - 3
C.5 Patient Management Tab ........................................................................................................................................................................... C - 4
C.6 Review Tab ....................................................................................................................................................................................................... C - 5
C.7 Telemetry Tab .................................................................................................................................................................................................. C - 6
C.8 Network Tab ..................................................................................................................................................................................................... C - 6
C.9 Print Tab ............................................................................................................................................................................................................ C - 8
C.10 Other Tab ........................................................................................................................................................................................................ C - 9

8
D Units, Symbols and Abbreviations ................................................................................................................................. D - 1

D.1 Units ....................................................................................................................................................................................................................D - 1


D.2 Symbols .............................................................................................................................................................................................................D - 2
D.3 Abbreviations ..................................................................................................................................................................................................D - 3

9
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10
1 Safety

1.1 Safety Information


The safety statements presented in this chapter refer to the basic safety information that the operator of the
BeneVision Central Monitoring System (hereinafter referred to as the CMS) shall pay attention to and abide by.
There are additional safety statements in other chapters or sections, which may be the same as or similar to the
following, or specific to the operations

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.

1.2 Equipment Symbols


NOTE
• Some symbols may not appear on your equipment.
• This manual describes a series of typical computer symbols, which may be slightly different from
what are on your computer. The computer symbols usually have their specific meanings. Refer to
your computer’s operator’s manual or contact our service personnel if you have any question.

Symbol Description Symbol Description

Refer to instruction manual/booklet CAUTION: To reduce the risk of electric shock,


do NOT remove cover. Refer servicing to
qualified service personnel.

Alternating current Power switch

Keyboard port Mouse port

Serial communication (COM) port Display port

Printer port USB port or device

1-3
Symbol Description Symbol Description

Network port Microphone port

Sound input port Sound output port

Date of manufacture Manufacturer

Serial number Equipotentiality

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

2.1 Intended Use


The indications for use of the BeneVision Central Monitoring System include:
■ Real time viewing of patient clinical data and alarms
■ Storage and Historical review of patient clinical data and alarms
■ Printing of real time and historical patient data
■ Configuration of local settings as well as synchronizing settings across the network to a remote device
■ Transfer of patient clinical data and settings between several CentralStations
The BeneVision Central Monitoring System is a networked patient monitoring system intended for use in a fixed
location, installed in professional healthcare facilities to provide clinicians remote patient monitoring. The
network connections between the various devices can be any combination of Ethernet (Wired), Wireless WIFI
(WLAN), and Wireless WMTS.
The BeneVision Central Monitoring System supports one or more Mindray compatible physiological monitors
and will display, store, print, and transfer information received from the compatible monitors; The BeneVision
Central Monitoring System supports bi-directional configuration of the compatible monitors. No data
processing is done by the BeneVision Central Monitoring System for data received from compatible monitors.
The telemetry monitoring systems are designed to acquire and monitor physiological data for ambulating
patients within a defined coverage area. The BeneVision Central Monitoring System supports Telemetry Systems:
TMS-6016, Telepack-608, TMS60, and TM80.
■ The TMS-6016 transmitter is intended for use on Adult and Pediatric patients to monitor ECG and SpO2
physiological data.
■ The Panorama Telepack-608 transmitter is intended for use on Adult patients to monitor ECG and SpO2
physiological data.
■ The TMS60 transmitter is intended for use on Adult and Pediatric patients over three years old to monitor
ECG, SpO2, NIBP and Resp physiological data. The physiological data can be reviewed locally on the display
of the transmitter. The CentralStation will support ECG, Heart Rate, SpO2, NIBP, Resp, Pulse Rate, Arrhythmia
analysis, QT monitoring, and ST Segment Analysis for the TMS60.
■ The TM80 telemetry monitor is intended for use on Adult and Pediatric patients over three years old to
monitor ECG, SpO2, NIBP and Resp physiological data. The physiological data can be analyzed, alarmed,
stored, reviewed locally on the display of the monitor, and the CentralStation can config and display the
physiological parameters from the TM80.
The BeneVision Central Monitoring System is intended for use in professional healthcare facilities under the
direct supervision of a licensed healthcare practitioner.

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

Remote display and


data transmission device

Figure 2-1 CMS Components

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.

2.3.4 CMS Viewer


The CMS Viewer is used to view a single patient at the host CentralStation. It is independent of the CMS and shall
be installed separately.
The CMS Viewer is for remote browsing only and cannot be used to set or control the host CentralStation or the
monitoring devices at the host CentralStation.
For more information on the CMS Viewer, see BeneVision Central Monitoring System Viewer Operator’s Manual (P/
N: 046-011065-00).

2.3.5 Computer Platform


The CentralStation, the WorkStation, and the ViewStation consist of system software and computers. They have
the same computer components: display, host computer, mouse, and keyboard.

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.

2.3.5.2 Host Computer


A host computer is used to run the CMS software program. The CentralStation, the WorkStation, and the
ViewStation need to be installed on different host computers. For computer specifications, see Appendix
A Technical Specifications in this manual.

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.

2.3.7 Network Device


A network device such as a switch and access point is used to connect a monitoring device to the CMS.

2.3.8 Remote Display and Data Transmission Device


The CMS supports connecting a video extender to display near-end videos at a remote site. The recommended
remote display and data transmission device is ATEN KVM (Keyboard Video Mouse) products.

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 Networking Mode


The CMS network consists of the bedside device network and the CMS network. The CMS supports networking
among multiple central monitoring systems so that the patient data displayed on one CMS can be viewed by
other networked CMS.
The typical networking diagram of the CMS is as shown below.

2-4
Mobile
Mobile Server CMS Viewer
Viewer

Hospital Network

Router eGateway

CMS Network

Printer CentralStation ViewStation WorkStation

Bedside Device
Network

Wired Wireless Telemetry


Network Network Network

Monitors without Monitoring device


Telemetry
wireless network with wireless
transmitters
adapters network adapters

Figure 2-2 Networking Mode

2.4.1 Bedside Device Network


The bedside device network connects:
■ Up to 96 monitoring devices that support the CMS+ protocol and broadcast communication
■ Up to 400 monitoring devices that support the CMS+ protocol and multicast communication
■ Up to 400 monitoring devices that support the ELAN protocol
■ Up to 1200 monitoring devices that support the MD2 protocol

2.4.1.1 Communication Modes


Monitoring devices communicate with the CentralStation in one of the following ways:
■ Wired network
The CentralStation and patient monitors interconnect through an Ethernet network switch.
■ Wireless network
The CentralStation and patient monitors or TM80 telemetry monitors can interconnect through a wireless
network consisting of Wireless Access Points and Ethernet switches.
■ Telemetry network
The CentralStation is connected to the telemetry receiver through an Ethernet network switch. The telemetry
receiver connects multiple telemetry transmitters via wireless RF.

2.4.1.2 Supported Monitoring Devices


The bedside device network supports the following devices:
■ Bedside monitors
◆ DPM 3 vital signs monitor, DPM 4/DPM 5/DPM 6/DPM 7 patient monitors
◆ Passport 2/Passport V/Passport 8/Passport 12/Passport 12m/Passport 17mpatient monitors

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

2.4.2 CMS Network


The CMS network mainly consists of the CentralStation, the WorkStation, the ViewStation, and the CMS Viewer.
The CentralStation admits monitoring devices, collects and stores patient data, enunciates alarms, and transfers
the patient data to the WorkStation, ViewStation, CMS Viewer, and Mobile Server.
The CMS viewer is used to view real-time data and historical data of an online patient at the host CentralStation.
An online patient refers to a patient who is being monitored by the CMS.

2-6
3 Getting Started

3.1 Overview
This chapter describes preparation before using the CMS and gives an overview of the CMS.

3.2 Equipment Preparation Safety Information

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.

3.3 Turning On the System


Perform safety checks before starting your system. For more information, see Section13.3 General Inspection.

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.

3.4 Multibed Screen


Once started, the CMS displays the multibed screen where multiple patients are monitored collectively.

3.4.1 Example Multibed Screen


The regular multibed screen is as shown in Figure 3-1.

(1) (2) (3) (4) (5) (6) (7)

(8)

Figure 3-1 Example Multibed Screen

(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.

(7) System time area

(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.

3.4.2 Symbols on the Multibed Screen


The following table lists the symbols displayed on the multibed screen.

Symbol Description Symbol Description

The color of the symbol changes to indicate Adult, female


different patient gender status:
■ Blue: indicates this patient is a male
adult.
■ Grey: indicates that this patient is an
adult without specified gender.

The color of the symbol changes to indicate Pediatric, female


different patient gender status:
■ Blue: indicates this patient is a male
pediatric.
■ Grey: indicates that this patient is a
pediatric without specified gender.

The color of the symbol changes to indicate Neonate, female


different patient gender status:
■ Blue: indicates this patient is a male
neonate.
■ Grey: indicates that this patient is a
neonate without specified gender.

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

Audible alarms are paused. Audible alarms are turned off.

Alarms are acknowledged and the alarm The system is silenced.


system is reset.

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.

Indicate exporting failure. A patient’s pacing status is not set at the


monitoring device.
This symbol will flash in the waveform area
when a pacer pulse is detected. You can set
the pacing status on the patient management
screen.

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.

No battery is installed into the monitoring This monitor is in privacy mode.


device.

This monitor is in night mode.

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.

3.4.3 Patient Sector Status


The patient sector may stay in one of the following operating states:
■ Offline: indicates that this patient sector has a patient admitted but its corresponding monitoring device
may be turned off or disconnected from the CentralStation.
■ Monitoring: indicates that the patient is being monitored and the monitoring device is communicating
with the CMS.
■ Standby: indicates that the monitoring device is in standby mode.
■ Discharged: indicates that the patient has been discharged from the monitoring device or from the CMS.
■ Idle: indicates that no monitoring device has been associated with this patient sector. The patient sector is
available for admitting a new monitoring device. For details on how to admit monitoring devices, see
Chapter 4 Patient Management.

3.4.4 Patient Sector in the Monitoring State


When a patient sector is in the monitoring state, it displays real-time patient data transmitted from the
monitoring device, as shown in Figure 3-2.

(1) (2) (3) (4)

(7)

(6) (5)

Figure 3-2 Example Patient Sector in Monitoring Status

(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.

3.4.4.1 Bed Number and Room Number Area


Selecting this area opens the drop-down list where you can perform a series of operations. Only items that may
need special remarks are described here.

Menu Item Description

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.

3.4.4.2 Alarm Information Area


You can view all the alarm messages for a bed by selecting the alarm information area.
This area displays the following items:
■ Alarms and prompts from a monitoring device or from the CMS
■ Alarm time for latched physiological alarms
■ The highest priority alarms. When multiple highest priority messages exist, they scroll.
■ When a physiological alarm message is suffixed with the “>” symbol, selecting it enters the events review
page where you can view more alarm details.
Alarms are displayed in different background colors to indicate alarm priorities:
■ Red background indicates high priority alarms.

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.

3.4.4.3 Changing the Screen Setup for Patient Sector


To change the display settings for a patient sector, follow this procedure:
1. Select the bed number and room number area in the upper left corner of the desired patient sector
on the multibed screen.
2. From the drop-down list, select Screen Setup.
3. Select the Choose Screen tab.
4. Set the desired screen. Normal Screen is most frequently used for patient monitoring. Big Numerics
displays parameter numerics in big font size.
5. Select the Tile Layout tab.
6. 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 parameters and waveforms selected are displayed in the patient sector.

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.

3.4.5 Sorting Patient Sectors


Patient sectors can be either manually or automatically sorted according to the criteria configured in the System
Setup menu.
To manually sort patient sectors, follow this procedures:
1. Select the system menu area in the upper left corner of the main screen.
2. From the drop-down list, select Sector Sorting.
3. In the Sector Sorting dialog, select OK.
For information regarding sorting criteria and automatic sorting, see Section 12.3.4 Setting Sectors.

NOTE
• The Sector Sorting option is available only when Sort Type is set to Manual in the System Setup
Menu.

3.4.6 Patient Summary


In the Patient Summary window, you can view the trend data and alarm statistics of selected patients.
Select Patient Summary at the top of the screen to access the Patient Summary window.

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)

Figure 3-3 Example Summary Window of a Single Patient

(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.

3.4.6.2 Filtering Patient Data


You can filter the desired patient data by bed number, patient group, or care group.
To filter patient data, follow this procedure:
1. In the Patient Summary window, select the desired filter criterion: Bed No, Patient Group, or Care Group.
The background color of the selected criterion changes green.
2. In the Filter window that pops up, select the desired beds. If you wish to view data of all beds, select Select
All.
3. Select the button in the upper right corner of the Filter window.

3.4.6.3 Changing the Time Length of Trends


To change the time length of trend data displayed in the Patient Summary window, follow this procedure:
1. Select Zoom in the upper right corner of the Patient Summary window.
2. Select the desired option. The default is 8 hrs.

3.5 ViewBed Screen


You can have a more detailed view of a single patient’s information, waveforms, and parameter numerics on the
ViewBed screen. In addition, you can also perform additional operations such as configuring parameters,
viewing multi-lead ECG waveforms, and recording waveforms for the selected patient.

3.5.1 Accessing the ViewBed Screen


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.
■ Select the ViewBed symbol when it is displayed in the desired patient sector on the multibed screen.

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.

3.5.2 Example ViewBed Screen


The regular ViewBed screen is as shown in Figure 3-4.

(1) (2) (3) (4)

(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).

(7) Parameter numerics/waveform area: displays parameter values and waveforms.

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.

3.5.3 Changing ViewBed Screen Settings


To change ViewBed screen settings, follow this procedure:
1. Access the ViewBed screen setup menu in either of the following ways:
◆ On the ViewBed screen, select the Screen Setup quick key from the quick key area.
◆ 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 Screen Setup → select the ViewBed
tab.
2. Select the Choose Screen tab and select the desired screen mode.

3. Select the Tile Layout tab.

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.

3.5.4 Displaying the Parameter List


You can display trends of HR, SpO2, RR, and NIBP/IBP in the parameter numerics area on the ViewBed screen.
To display the parameter list, follow this procedure:
1. Access the ViewBed screen setup menu in either of the following ways:
◆ On the ViewBed screen, select the Screen Setup quick key from the quick key area.
◆ 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 Screen Setup → select the ViewBed
tab.
2. Select the Tile Layout tab.
3. Select a parameter area where you wish to display the parameter list.

3 - 10
4. From the drop-down list, select Parameter List.

3.5.5 Quick Keys


The ViewBed screen provides quick keys for you to quickly access some functions. The More key is permanently
located at the left bottom. Selecting the More quick key shows more quick keys. The quick keys displayed on the
screen are configurable. When a function is not supported by a monitoring device, its quick key is inactive.

3.5.5.1 Available Quick Keys


The following table shows available quick keys.

Symbol Label Function Symbol Label Function

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

NIBP Start/ Start an NIBP Standby Enter standby mode


Stop measurement or stop the
ongoing NIBP
measurement

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

Record Setup Enter the Record Setup Record Start/Stop a recording.


menu.

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.

EWS Enter the EWS window ERAS Enter the ERAS


Dashboard Dashboard where you can
view a patient’s exercise
time, resting time, and
pain score.

Send Message Send a message to the TM80

3.5.5.2 Configuring Quick Keys


To configure the desired quick keys, follow this procedure:
1. Access the quick keys setup menu in either of the following ways:
◆ On the ViewBed screen select the Screen Setup quick key from the quick key area →select the Quick
Keys tab.
◆ 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 Screen Setup → select the Quick
Keys tab.
2. Select the Current tab to configure the desired quick keys.
◆ Add a quick key: on the top of Quick Keys tab, first select a key which you want to configure for a
specific quick key function, next select the quick key function from the list of functions. For example, if
you want to show the Screen Setup quick key in the first key, select the first key, and then select
Screen Setup from the function list.
◆ Clear a quick key: select the quick key to be cleared from the quick key and then select Blank from the
function list.
3. Select the More tab to configure the quick keys to be displayed when the More quick key is selected.

3.5.6 SpO2 Statistics


Statistic data of each SpO2 section within a specific time can be displayed in the SpO2 statistics area on the
ViewBed screen. The target SpO2 section is displayed in green.

3.5.6.1 Displaying the SpO2 Statistics Area


To display the SpO2 statistics area, follow this procedure:
1. Access the ViewBed screen setup menu in either of the following ways:
◆ On the ViewBed screen, select the Screen Setup quick key from the quick key area.
◆ 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 Screen Setup → select the ViewBed
tab.
2. Select the Tile Layout tab.
3. Select a parameter area where you wish to display the SpO2 statistics area.
4. From the drop-down list, select SpO2.
5. From the drop-down list, select SpO2 Statistics.

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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.

3.5.7 Starting/Stopping NIBP Measurement


When the remote control functionality for NIBP measurement is enabled at the CentralStation or the
WorkStation, some bedside monitors allow you to remotely to start an NIBP measurement or stop the ongoing
measurement. For details on how to select this remote control functionality, see Section 12.12.6 Setting
Authorization Setup.
When the remote control functionality for NIBP measurement is enabled at the CentralStation, some bedside
monitors allow you to remotely to start an NIBP measurement or stop the ongoing measurement. For details on
how to select this remote control functionality, see Section 12.12.6 Setting Authorization Setup.
Start an NIBP measurement in either of the following ways:
■ On the ViewBed screen, select the NIBP Start/Stop quick key.
■ 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 NIBP Start/Stop.
In the measurement process, if you wish to stop the proceeding measurement, select NIBP Start/Stop.

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.

3.5.8 Freezing/Unfreezing Waveforms


During patient monitoring, you can freeze waveforms on the ViewBed screen to allow a closer review of the
waveform data.

3.5.8.1 Freezing Waveforms


To freeze waveforms, follow this procedure:
1. On the ViewBed screen, select the Freeze quick key.
2. In the Freeze window, select the left or right arrow to move the waveforms backward or forward one
second, to display the desired time.
Freezing waveforms does not affect:
■ Waveforms displayed in the minitrends window, OxyCRG window, EWS window and parameter numerics
on the ViewBed screen
■ Waveforms displayed on the multibed screen
■ Alarm enunciation

3 - 13
3.5.8.2 Unfreezing Waveforms
To unfreeze waveforms, select the button in the upper right corner of the Freeze window.

3.5.8.3 Printing Frozen Waveforms


Selecting the button in the upper left corner of the Freeze window prints frozen waveforms.

3.5.9 Loading Configurations for Telemetry Devices


You can load user defaults or factory defaults for the selected telemetry devices.
To load configurations, follow this procedure:
1. Select the Load Config quick key at the bottom of the ViewBed screen to enter the Load Config menu. If
this quick key is not available, configure it by following steps in 3.5.5.2 Configuring Quick Keys.
2. In the Local tab, select the desired option.
◆ User Default: loads the saved user configuration. For details about the configuration items, see
Section 12.11.2 Setting Telemetry Configurations.
◆ Factory Default: loads factory default configuration.
3. Select the Load button.

3.5.10 Viewing Device Location


If the AP information has been imported into the CentralStation, you can view device location information for
WiFi devices. For details on how to import AP information, see Section 12.9.8 Setting the AP Management Tab.
To view device location, follow this procedure:
1. Select the symbol at the top of the ViewBed screen. The Device Location menu is displayed.
2. View the AP switch time in the Time column and the current location of devices in the Location column.
3. If you wish to locate a TM80 telemetry device, select the Find Device button.The TM80 will generate a
continuous audible tone until it is acknowledged at the TM80.

3.5.11 Minitrends Window


You can split the normal screen so that the left hand side of the screen shows the minitrends window. The
Minitrends screen shows the recent graphic trends of parameters.

3.5.11.1 Entering the Minitrends Window


Choose one of the following methods to enter the Minitrends window:
■ On the ViewBed screen, select the Minitrends quick key.
■ On the ViewBed screen, select the Screen Setup quick key →select Choose Screen →select Minitrends.
■ Select the button at the leftmost screen if normal screen is displayed currently.
■ Swipe right on the touchscreen with one finger if normal screen is displayed currently.
■ For a non-touchscreen, place the mouse at anywhere on the normal screen, and drag the mouse to right
while holding the mouse right or left button.

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)

(2) (3) (4)

Figure 3-5 Example Minitrends Window

(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.

(6) Select this button to view the trends of longer time

(7) Time line

(8) Alarm statistic area

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.

3.5.11.3 Setting Minitrends Parameters


To set parameters, follow this procedure:
1. Enter the Minitrends window.
2. Select the Setup button.
3. Set parameters. If you wish to use the default parameters, select Default Parameter.

3.5.11.4 Setting the Minitrend Length


To set the Minitrend length, follow this procedure:
1. Enter the Minitrends window.
2. Select the Setup button.
3. Set Minitrend Length.

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.

3.5.11.6 Setting the Alarm Statistics Length


The time length within which the alarms statistics are made is configurable. To set the alarm statistics length,
follow this procedure:
1. Enter the Minitrends window.
2. Select the Setup button.
3. Set Alarm Statistics Duration.

3.5.11.7 Routine Vital/Baseline


The Routine vital/Baseline function is used for marking the parameter measurements of certain moment for later
reference. If the department is set to OR, the Baseline button is displayed. For other departments, the Routine
Vital button is displayed.

Manually Marking the Routine Vital/Baseline


To manually mark the Routine Vital/Baseline, follow this procedure:
1. Enter the Minitrends window.
2. Select the Routine Vital button or Baseline button.
Configuring Automatic Routine Vital Settings
The CMS can automatically mark the routine vital sign values. To enable this function, follow this procedure:
1. Enter the Minitrends window.
2. Select the Setup button.
3. Select the Routine Vital tab.
4. Set Routine Vital to Auto.
5. Select Time to set the time for marking the first routine vital sign values.
6. Select Interval to set the interval for marking the routine vital sign values.

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

3.5.11.8 Aldrete Score


Select Aldrete Score to show the latest score and scoring time. To understand the current patient status, select a
score for each item and then select OK to get a new score.

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.

3.5.12 Early Warning Score (EWS)


The Early Warning Scores (EWS) can help you recognize the early sign of deterioration in patients based on vital
signs and clinical observations. Depending on the score calculated, appropriate recommendations are
displayed.
The scoring protocol displayed on the CMS is consistent with that on a patient monitor. The following scoring
protocols may be supported by patient monitors:
■ MEWS (Modified Early Warning Score)
■ NEWS (National Early Warning Score)
■ NEWS2 (National Early Warning Score 2)
■ Custom Score
There are two types of scoring tools:
■ Total score: A subscore is given for each parameter based on the measured or entered value. When all the
required parameters are entered or measured, the subscores are added together to calculate the total early
warning score. Each subscore has a color coding to indicate associated level of risk. When the total score is
outside of the thresholds, actions are recommended. MEWS, NEWS and NEWS2 can give total scores.
■ IPS (individual parameter score): A score indicated by color is given for each parameter based on the
measured or entered value. Each parameter has upper and lower thresholds. When an individual
parameter measured or entered is outside of the thresholds, actions are recommended.
Custom Score is based on user-defined parameters. It can be a total score or an IPS, depending on the
configuation.
MEWS, NEWS and NEWS2 are intended for adult patients only. The patient category of the Custom Score is
defined by Mindray Clinical Score Configuration Tool. For more information, see Mindray Clinical Scoring Config
Tool Instruction for Use (P/N: 046-007126-00).

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.

3.5.12.1 Displaying the EWS Parameter Area


To display the EWS parameter area, follow this procedure:
1. Access the ViewBed screen setup menu in either of the following ways:
◆ On the ViewBed screen, select the Screen Setup quick key from the quick key area.
◆ 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 Screen Setup → select the ViewBed
tab.
2. Select the Tile Layout tab.
3. Select a parameter area where you wish to display EWS scores.
4. From the drop-down list, select EWS.

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.

3.5.12.2 Example EWS Parameter Area


The example EWS parameter area is as shown in Figure 3-7.

(8) (7)

(1) (6)

(2)

(3)
(4) (5)

Figure 3-6 Example EWS Parameter Area

(1) EWS protocol label

(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.

(3) Single parameter whose severity level reaches 3

(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.

(6) Scoring interval

(7) Current scoring time

(8) Scoring countdown: time to the next scoring.

3.5.12.3 Entering the EWS Window


Choose one of the following methods to enter the EWS window:
■ On the ViewBed screen, select the EWS parameter area.
■ On the ViewBed screen, select the EWS quick key.
■ On the ViewBed screen, select the Screen Setup quick key →select Choose Screen →select EWS.

3.5.12.4 Example EWS Window


Take NEWS2 as an example, the EWS screen is shown as shown in Figure 3-8.

3 - 18
(4) (5) (6)(7)

(1) (8)
(2) (9)

(3)
(10)

(11)

(12)

Figure 3-7 Example EWS Window

(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.

(4) Current scoring time

(5) EWS protocol label

(6) Scoring countdown: time to the next scoring.

(7) Scoring interval

(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.

(11) History total scores

(12) Selecting this button to review history scores

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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.

3.5.12.6 Exiting the EWS Window


To exit the EWS window, follow this procedure:
1. On the ViewBed screen, select the Screen Setup quick key.
2. Select the desired screen mode.

3.5.13 ECG 24h Summary


The ECG 24h Summary provides ECG statistics of the current patient over the latest 24 hours. You can view the
following information through the ECG 24h Summary:
■ Heart rate statistics
■ Arrhythmia event statistics
■ QT/QTc measurement statistics
■ Maximum and minimum ST statistics of each lead
■ Pacer statistics
■ Typical ECG strips
To view the ECG 24h Summary, select the ECG 24h Sum quick key.

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.

3.5.14 Arrhythmia Alarm Timeout


Normally, when a monitoring device supporting the arrhythmia function is connected to the CMS, once an
arrhythmia alarm condition is detected, a corresponding alarm will be issued at the CMS. However, there are
certain situations that can inhibit audible and visible alarm indications even though an alarm condition was
detected.
This section only describes the arrhythmia alarm timeout function for telemetry devices. For arrhythmia alarm
timeout function of patient monitors, see operator’s manuals for these devices.

3.5.14.1 Arrhythmia Alarm Chains


If multiple alarms overlap, announcing all of the detected alarm conditions would be confusing, and a more
serious condition might be overlooked. So arrhythmia alarms are prioritized by alarm "chains".

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Asystole

High Priority
VͲFib/VͲTach

VͲTach / Vent Brady

Extreme Tachy/
Extreme Brady

Beat Detection
PVC Alarm Chain Rate Alarm Chain AͲFib Alarm Chain
Alarm Chain

Nonsus VͲTach / AͲFib/


Pauses/min Tachy/Brady
Vent Rhythm AͲFib End

HR High / Irr. Rhythm/


Run PVCs Pause

Medium Priority
HR Low Irr.Rhythm End

Couplet Pacer not Capture /


Pacer not Pacing /
Missed Beat
R on T

Bigeminy

Trigeminy

PVCs/min

Multiform PVC

PVC

3.5.14.2 Setting Arrhythmia Alarm Timeout Period


The arrhythmia algorithm can disable alarm light and alarm tone for designated period of time when certain
arrhythmia alarms are detected.
This function is password protected. For more information, see Section 12.8.2 Setting Alarm Properties for
Telemetry Devices.

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.

3.5.14.3 Arrhythmia Alarm Timeout Rules


The following table explains how audible and visual alarm indicate during arrhythmia alarm timeout.

Previous alarm Current alarm Alarm indication

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.

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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

3.6 Operating Mode


When monitoring devices support standby mode, night mode, or privacy mode, and remote control for these
modes has been set at the CMS, you can control corresponding monitoring devices to enter or exit these modes
either via the monitoring devices or via the CMS.
This section only describes how to put monitoring devices into or out of these modes via the CMS. For details on
how to set remote control for these modes, see Section 12.12.6 Setting Authorization Setup. For details on how to
put monitoring devices into or out of these modes via the monitoring devices and how monitoring devices
behave in these modes, see corresponding operator’s manuals for the monitoring devices.

3.6.1 Standby Mode


When monitoring devices are connected to the CMS and are in the monitoring mode, if you need to temperately
stop patient monitoring without switching off the devices, you can use standby mode.

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.

3.6.1.1 Entering Standby Mode


To enter standby mode, follow this procedure:
1. Enter the standby 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 the symbol.
◆ On the ViewBed screen, select the Standby quick key.
2. Set Location optionally to define where the patient is when the monitoring device is in standby mode.
3. Select OK.

NOTE
• Options for Location are configurable. For more information, see Section 12.5.5 Setting Patient
Location.

3.6.1.2 Changing the Patient Location in Standby Mode


If you need to change the patient’s location in standby mode, select Location from the Standby screen.

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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.

3.6.2 Night Mode


The night mode is a special clinical monitoring mode. For how a patient monitor behaves in night mode, see the
patient monitor’s operator’s manual.
When Night Mode is set to Enable One Bed or Enable All Beds in the system menu of the CentralStation or the
WorkStation, you can choose to put one patient monitor or all patient monitors into or out of night mode via the
CentralStation or the WorkStation. For more information on the system settings, see Section 12.12.6 Setting
Authorization Setup.

3.6.2.1 Entering Night Mode


To enter night mode, follow this procedure:
1. Enter night 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 Night Mode.
◆ On the ViewBed screen, select the Night Mode quick key.
2. Select whether to put current bedside monitor or all the bedside monitors into night mode.
3. Select OK. The bedside monitors selected will enter night mode. The symbol will be displayed in the
upper right corner of the patient sectors for the bedside monitors which are in night mode.

3.6.2.2 Exiting Night Mode


To exit night mode, follow this procedure:
1. Enter the night 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 Night Mode.
◆ On the ViewBed screen, select the Exit Night Mode quick key.
2. Select whether to put current bedside monitor or all the bedside monitors out of night mode.
3. Select OK.

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.

3.6.3 Privacy Mode


The privacy mode is a special clinical monitoring mode. In privacy mode, the bedside monitor does not display
patient information and monitoring data. This provides controlled access to patient data and ensures
confidentiality. In privacy mode, the bedside monitor continues monitoring the patient, but patient data is only
visible at the CMS.
When Privacy Mode is set to Enable One Bed or Enable All Beds in the system menu of the CentralStation or
the WorkStation, you can choose to put one patient monitor or all patient monitors into or out of privacy mode
via the CentralStation or the WorkStation. For more information on the system settings, see Section 12.12.6
Setting Authorization Setup.

3.6.3.1 Entering Privacy Mode


To enter privacy mode, follow this procedure:

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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.

3.6.3.2 Exiting Privacy Mode


To exit privacy mode, follow this procedure:
1. Enter the 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 out of privacy mode.
3. Select OK.

NOTE
• If the bedside monitor is connected to the CMS, it automatically exits privacy mode when
disconnected from the CMS.

3.7 Viewing System Information


To view system information, follow this procedure:
1. Select the system menu area in the upper left corner of the screen.
2. From the drop-down list, select System Information.

3.8 Restarting the System


To restart the system, follow this procedure:
1. Select the system menu area in the upper left corner of the main screen.
2. From the drop-down list, select Restart. The system checks if any patients are being monitored:
◆ If no patients are being monitored, go to the Step 3.
◆ If patients are still being monitored, the message N patients are being monitored. Are you sure you
want to restart? (where N stands for the number of patients) is displayed. Select OK.
3. Enter the password in the Restart dialog and select OK. The password is the same as that for accessing
system setup tabs. Then, the CMS and the operating system will be automatically restarted.

3.9 Turning Off the System


It is important to properly turn off the system. To turn off the system, follow this procedure:
1. Select the system menu area in the upper left corner of the main screen.
2. From the drop-down list, select Shutdown. The system checks if any patients are being monitored:
◆ If no patients are being monitored, go to the Step 3.

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◆ 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.

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3 - 26
4 Patient Management

4.1 Patient Management Overview


The CentralStation, the WorkStation, and the ViewStation provide different patient management capabilities.
■ The CentralStation and the WorkStation provide the following capabilities:
◆ Obtaining patient information
◆ Viewing patient information
◆ Changing patient information
◆ Searching for patients
◆ Discharging patients
◆ Transferring patients
■ The ViewStation only provides the capability of viewing patient information.

4.2 Admitting Monitoring Devices at the CentralStation


The first step on monitoring a patient on the CMS is to admit monitoring devices. Only the CentralStation can
admit monitoring devices. After admitting monitoring devices, the CentralStation can display the patient’s
physiological parameters, waveforms, alarm messages, and store the corresponding patient data.
The CentralStation can be set to automatically admit monitoring devices. Or monitoring devices can be
manually admitted.

4.2.1 Automatically Admitting Monitoring Devices


For details on how to admit monitoring devices at the CentralStation, see Section 12.6.2.2 Automatically
Admitting Monitoring Devices.

4.2.2 Manually Admitting Monitoring Devices


A monitoring device can be manually admitted on the device assignment screen in either of the following ways:
■ In the System Setup menu, select the Device Assignment tab. Then admit monitoring devices. Using this
method, the lock symbol is displayed in the upper right corner of the monitoring device admitted. It
indicates that this patient sector is locked and the monitoring device is bound with a patient sector on the
multibed screen. After discharging a patient, the patient’s bed number is still displayed in the patient
sector. When the monitoring device is online again, the patient data from this monitoring device will be
displayed in the same patient sector. This method is appropriate for devices that are frequently used in a
department and are less likely to be moved to another department.
■ Select the system menu area in the upper left corner of the main screen and then select Device
Assignment. Or, select a patient sector with the symbol on the multibed screen. Using this method, the
unlock symbol is displayed in the upper right corner of the monitoring device admitted. It indicates
that this patient sector is not locked and the monitoring device is not bound with a patient sector on the
multibed screen. After discharging a patient, the patient sector is in idle status. You can select the
button to admit a monitoring device. This method is appropriate for devices that are used
temporarily.
The device assignment screen is displayed as below:
■ On the left side of the screen: select the or button to toggle between available displays and
view corresponding patient sectors on the multibed screen. If monitoring devices have been
admitted, related information such as their department and bed numbers are displayed in the patient
sectors. Selecting the button in the upper right corner of a patient sector disconnects the monitoring
device from the CentralStation.
■ The right side of this screen displays the list of all the monitoring devices. The symbol indicates that
this device has been admitted by current CentralStation. Selecting the symbol disconnects this device

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.

4. Admit monitoring devices.


◆ To assign a monitoring device to a specific patient sector, select the patient sector on the left side of
this screen. If a monitoring device has been assigned to this patient sector, disconnect this monitoring
device from the CentralStation by selecting the button. Then select the symbol on the right
side of the desired monitoring device to admit this device.
◆ To assign monitoring devices to the next available patient sector, select the symbol on the right
side of the desired monitoring devices to admit these devices. The devices will be assigned to idle
patient sectors on the multibed screen in the order of left to right and from top to bottom.Within the
LAN, a monitoring device can be admitted to any CentralStation, but can be admitted by one
CentralStation only.

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.

4.3 Assigning Monitoring Devices from the Host CentralStation to the


WorkStation/Viewstation
If you wish to perform patient management at the WorkStation or view patient information at the ViewStation,
you need to assign monitoring devices from the host CentralStation to the WorkStation or the ViewStation first.
You can assign monitoring devices manually or automatically.
For details on how to assign monitoring devices from the host CentralStation to the WorkStation/ViewStation,
see Section 12.6.3.2 Assigning 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.

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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.

4.5 Connecting a Patient Monitor with a Telemetry Device


If both a patient monitor and a telemetry device are available for the same bed and you need to choose the
device per patient’s condition, you can connect the patient monitor with the telemetry device at the
CentralStation or the WorkStation. After these devices are connected successfully, when the patient’s condition
improves and the patient can perform out-of-bed activities , you can choose the telemetry device to view
patient monitoring data. When the patient’s condition worsens, you can choose the patient monitor to view
patient monitoring data.
When a patient monitor supports connecting a telemetry device, the symbol is displayed in the lower right
corner of the patient sector on the device assignment screen.

4.5.1 Connecting Procedures


To connect a patient monitor with a telemetry device, 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. On th left side of the screen, select the symbol. The Telemetry Device menu is displayed.
3. Select the desired device. If you wish to view more details about this device, select the symbol.
After a patient monitor is successfully connected with a telemetry device, the following indications are given:
■ On the device assignment screen:
◆ The symbol changes to .
◆ The name of the telemetry device connected is displayed in the lower left corner of the patient sector.
◆ The patient monitor’s symbol, for example is changed to the symbol .
■ On the multibed screen: after selecting the bed number and room number area in the upper left
corner of the patient sector where the patient monitor is displayed, the Use Telemetry option is displayed.
Selecting this option changes it to Use Host Monitor.

4.5.2 Disconnecting a Patient Monitor with a Telemetry Device


To disconnect a patient monitor with a telemetry device, 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. On th left side of the screen, select the symbol.The Disconnect Telemetry Device dialog box is
displayed.
3. Select OK.

4.6 Accessing the Patient Management Screen


After admitting or assigning monitoring devices, you can manage patients on the patient management screen
at the CentralStation or the WorkStation.
Enter the patient management screen in either of the following ways:
■ Select the patient information area in the desired patient sector on the multibed screen.
■ On the ViewBed screen, the review screen, or the calculation screen, select the Patient Management tab.

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4.7 Patient Information Management
You can enter patient information, edit patient information, and search a patient.

4.7.1 Entering Patient Information


If a monitoring device is admitted by the CentralStation, you can enter patient information either at the
CentralStation or at the WorkStation.
Enter patient information on the patient management screen in one of the following ways:
■ Load patient information from the hospital information system.
■ Import discharged patient information.
■ Scan patient information via a barcode reader.
■ Enter patient information manually.

4.7.1.1 Loading Patient Information by ADT Query


When the CentralStation and the WorkStation are connected with a hospital information system, you can utilize
the admit-discharge-transfer (ADT) query function to obtain patient information from the hospital information
system and import the patient information to the CentralStation or the WorkStation.
To load patient information, follow this procedure:
1. On the patient management screen, select the Find Patient button.
2. Select the ADT tab.
3. Input query criteria.
4. Select the button.
5. Select the button at the end of the desired patient to import the patient information to the
CentralStation or the WorkStation.

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.

4.7.1.2 Importing Discharged Patient Information


To import discharged patient information, follow this procedure:
1. On the patient management screen, select the Find Patient button.
2. Select the Discharged Patients tab. The Discharged Patients will only be displayed within a tab when the
ADT feature is enabled in the system setup. If the ADT feature is disabled, there is no tab to select. Proceed
to the next step.
3. Input query criteria.
4. Select the button.
5. Select the button at the end of the desired patient.
6. When the Readmit Patient dialog appears, decide whether to import History Data.
◆ Select History Data when you wish to merge the patient demographic information and historical
data into current data for this patient.
◆ Do not select History Data when you wish to merge only the patient demographic information into
current data for this patient.
7. Select the OK button.

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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.

4.7.2 Changing Patient Information


When you change the patient information at the CentralStation or the WorkStation, the information is also
changed at the monitoring devices.
This section only describes how to change patient information at the CentralStation or the WorkStation. For
details on how to change information at the monitoring devices, see corresponding operator’s manuals for these
devices.
To change patient information, follow this procedure:
1. On the patient management screen, change the patient information in the appropriate fields as necessary.
2. After finishing changing, verify that all the patient information items are correct.
3. Select the Save button.

4.7.3 Searching Patient Information


You can search discharged patients in the HIS system or in a CentralStation. After finding the desired patient
information, you can perform operations such as importing and reviewing the patient information. The
searching patients feature is available at the CentralStation and the WorkStation.

4.7.3.1 Searching Patient Information by ADT


To search patient information in the HIS system by ADT, follow steps 1 to 4 in Section 4.7.1.1 Loading Patient
Information by ADT Query.

4.7.3.2 Searching Discharged Patients


You can search discharged patients on the patient management screen and on the discharged patients
management screen. This section only describes how to search discharged patients on the patient management
screen. For details on how to search discharged patients on the discharged patients management screen, see
Section 4.10.2 Viewing Discharged Patient Information.
To search discharged patients, follow steps 1 to 4 in Section 4.7.1.2 Importing Discharged Patient Information.

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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.

4.8 Discharging A Patient


Before monitoring a new patient, discharge the previous patient. This ensures that data from a previous patient
is not mixed with the data from the new patient.
This section only describes how to discharge patients at the CentralStation/ WorkStation. Patients can also be
discharged from a bedside monitor or from a TD60 transmitter or a TM80 telemetry monitor. For details on how
to discharge patients at the monitoring devices, see corresponding operator’s manuals for these devices.
To discharge a patient, follow this procedure:
1. Access the Discharge Patient dialog in either of the following ways:
◆ On the patient management screen, select the Discharge Patient button.
◆ Select the bed number and room number area in the upper left corner of the desired patient
sector on the multibed screen and then select Discharge Patient from the drop-down list.
2. If you need to print an end case report, select Print End Case Report.
3. Select whether to let this monitoring device enter standby mode after the patient is discharged.
4. Select the OK button.

4.9 Transferring Patient Data


Only when the transferring patient function is allowed in the system setup menu of the CentralStation/
WorkStation, you can transfer a patient from one bed (source bed) to another bed (destination bed) without
losing patient data. For information on the system setup, see Section 12.12.6 Setting Authorization Setup.
This section only describes how to transfer patients from the CentralStation/WorkStation. For details on how to
transfer patient data at the bedside monitors, see corresponding operator’s manuals for these devices.
To transfer patient data, follow this procedure:
1. On the patient management screen, select the Transfer Patient button to enter the Transfer Patient
window
2. Select the destination unit under Select the destination CMS:.
◆ Local: transfers the patient data to the destination bed in the current CentralStation/WorkStation.
◆ Other: transfers the patient data to the destination bed in the target CentralStation. After selecting
this option, select the target CentralStation name from the list box on the right of Other.
3. In the Select the destination bed: section, select the desired destination bed from the bed list.
4. Select the OK button.
5. In the Transfer Patient dialog box, select the OK button.
6. In the dialog box that prompts successful patient transfer, select the OK button.
Usually, data transfer takes about several minutes. The larger the amount of patient data, the longer time
required by data transfer. Upon successful transfer, the source bed’s patient sector displays Discharged. The
Transferring Data... xx (where xx stands for the data transfer completion percentage) prompt message is
displayed in the alarm information area of the destination patient sector, indicating merging patient data from
the source bed to the destination bed is in progress. If the data transfer fails, the Failed to transfer the patient.
prompt message is displayed.

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.

4.10 Discharged Patients Management


On the discharged patients management screen, you can perform operations such as viewing the demographic
information and historical data for discharged patients.

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.

4.10.1 Accessing the Discharged Patients Management Screen


To access the discharged patients management screen, follow this procedure:
1. Select the system menu area in the upper left corner of the screen.
2. From the drop-down list, select Discharged Patients.

4.10.2 Viewing Discharged Patient Information


To view discharged patient information, follow this procedure:
1. Select the target CentralStation from the button in the upper left corner of the discharged patients
management screen.
◆ Local Central Station: view discharged patients in current station.
◆ Name of other central stations: view discharged patients in other central stations.
2. Input query criteria. If you need to specify more criteria, select the Filter button and input more criteria.
3. Select the Search button.
4. Select the Detail button in the desired patient information.After selecting this button, you can view the
patient information and historical data in the Patient Management tab and Review tab respectively.

4.10.3 Deleting Discharged Patient Information


To view delete patient information, follow this procedure:
1. Select the target CentralStation from the button in the upper left corner of the patient
management screen.
◆ Local Central Station: view discharged patients in current station.
◆ Name of other central stations: view discharged patients in other central stations.
2. Select the desired patient information. If you wish to select all the patient information, select the Select All
button.
3. Select the Delete button.
4. In the dialog box that prompts whether to delete, select the OK button.

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 Alarm Introduction


This chapter describes alarm functions and alarm settings.

5.2 Understanding the Alarms


Alarms triggered by a vital sign that appears abnormally or due to technical problems identified by the
monitoring devices are sent to the CMS. The CMS provides visual and audible alarm indications.
Most of the alarms come from monitoring devices. For alarms detected by the CMS, see Appendix B CMS Alarm
Messages.

5.2.1 Alarm Categories


The CMS’ alarms can be classified into two categories: physiological alarms and technical alarms.
■ Physiological alarms, also called patient status alarms, are triggered by a monitored parameter value that
violates set alarm limits or an abnormal patient condition. Physiological alarm messages are displayed in
the physiological alarm area.
■ Technical alarms, also called system status alarms, are triggered by a device malfunction or a patient data
distortion due to improper operation or mechanical problems. Technical alarm messages are displayed in
the technical alarm area.
Apart from the physiological and technical alarm messages, the CMS will show some messages telling the
system status.

5.2.2 Alarm Priorities


By severity, the alarms are classified into the following priority levels:
■ High priority alarms: indicate a life threatening situation or a severe device malfunction. High priority
alarms require an immediate response.
■ Medium priority alarms: indicate abnormal vital signs or a device malfunction. Medium priority alarms
require a prompt response.
■ Low priority alarms: indicate a discomfort condition, a device malfunction, or an improper operation. Low
priority alarms require you to be aware of this condition.
■ Prompts: provide additional information on the patient or the system status.

5-1
5.2.3 Alarm Indicators
When an alarm occurs, the CMS gives different visual or audible alarm indications as shown below.
.

Alarm Indicator High Priority Medium Low Priority Message Comments


Alarm Priority Alarm Alarm

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.

Mode 1 Repeat pattern Repeat pattern Low-pitched 1- None


of high-pitched of 2-beep tones beep tone
3-beep tones

Mode 2 Repeat pattern Repeat pattern Low-pitched 1- None


of high-pitched of 2-beep tones beep tone
3-beep tones

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.

Alarm priority *** ** * None The indicator is displayed


indicator in front of a
corresponding alarm
message.

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.

5.3 Viewing Alarms


You can view physiological and technical alarms from all monitoring beds or a single monitoring bed and CMS’s
technical alarms.

5.3.1 Viewing All Alarms


You can view alarms from all the monitoring beds and from the CMS itself during a recent time period.
To do so, follow this procedure:
1. Select the alarm list area at the top of the main screen.
2. Select the time period in the upper right corner of the Alarm List screen.
3. Select the Physiological Alarms or Technical Alarms tab to view physiological alarms or technical alarms.
4. Select the Detail button on the right side of the desired physiological alarms to access the event review
page and view the alarm details.

5.3.2 Viewing Alarms Triggered from A Single Monitoring Bed


To view alarms from a single monitoring bed, follow this procedure:
1. Open the alarm list window for a monitoring device in either of the following ways:
◆ Select the alarm information area in the patient sector of this monitoring device on the multibed
screen.
◆ Select the physiological or technical alarm information area on the ViewBed screen of this monitoring
device.
2. Select the desired alarm message to access the event review page and view the alarm details.

5.4 Clearing Alarms in the Alarm List


To clear physiological or technical alarms in the alarm list, follow this procedure:
1. Select the alarm list area at the top of the main screen.

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

5.5.1 Setting Parameter Alarm Properties


You can set alarm properties for parameters collectively or individually.

5.5.1.1 Setting Parameter Alarm Properties Collectively


To set alarm properties for all the parameters collectively, follow this procedure:
1. Enter the Alarm Setup menu 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 Alarm Setup.
◆ Select the Alarm Setup quick key at the bottom of the ViewBed screen. If this quick key is not
available, configure it by following steps in 3.5.5.2 Configuring Quick Keys.
2. Select the Limits tab.
3. Switch on or off alarms and set alarm limits, alarm priority, and alarm outputs.
◆ If Alarm Outputs is set to Off: when an alarm is triggered, alarm information for this parameter will
not be printed.If Alarm Outputs is set to Paging (optional): when the parameter alarm is switched
on, once an alarm is triggered, alarm information for this parameter will be sent to a configured
paging device.
◆ If Alarm Outputs is set to Print : when the parameter alarm is switched on, once an alarm is
triggered, alarm information for this parameter will be sent to the configured printer and printed
automatically. For details on how to configure the waveform printing duration, see Section 12.4.4
Configuring Other Alarm-Related Items.
◆ When Alarm Outputs is set to All: when the parameter alarm is switched on, once an alarm is
triggered, alarm information for this parameter will be sent to the configured paging device and
printer and printed automatically. For details on how to configure the waveform printing duration,
see Section 12.4.4 Configuring Other Alarm-Related Items.

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.

5.5.1.2 Setting Parameter Alarm Properties Individually


To set alarm properties for a parameter, follow this procedure:
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 parameter area or waveform area of the desired parameter.
3. Select the Alarm tab and perform settings.

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.

5.5.3 Changing ST Alarm Settings


To change ST alarm settings, follow this procedure:
1. Enter the ST 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 ST tab.
◆ Select the Alarm Setup quick key at the bottom of the ViewBed screen → select the ST tab.
◆ Select the ECG parameter area or waveform area to enter the ECG setup menu → select the ST tab.
2. Change alarm settings.

5.5.4 Setting Alarm Volume


To set the alarm volume, follow this procedure:
1. Select the system menu area in the upper left corner of the screen→ from the drop-down list
select System Setup to access the System Setup menu.
2. Select the General tab to access the general setup page.
3. Select the Volume tab.
4. Set Alarm Volume. The optional alarm volume is between X to 10, in which X is the minimum volume,
depending on the setting of minimum alarm volume, and 10 is the maximum volume. For more
information, see Section 5.5.5 Setting Alarm Sound Pattern, Alarm Interval, Alarm Volume Escalation, and
Audio Off Priority.
5. Set High Alarm Volume. The volume of the high priority alarm is higher than any other alarm volume. The
volume of the high priority alarm is 10 even if it is set above 10.
6. Set Reminder Volume.

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.

5.5.6 Setting Alarm Sound for a Single Bed


When Alarm Sound Off is set to Disable in the system setup menu, you can turn on or off alarm sound for a
single bed. For information on system settings, see Section 12.4.2 Configuring Alarm Audio Properties.

5.5.7 Setting Reminder Tones


The reminder tone is enabled by default. When the CMS is in silenced or audio off mode and if active alarms still
exist in the system, the CMS issues a reminder tone at the designated reminder interval. For details on how to set
alarm reminder, see Section 12.4.2 Configuring Alarm Audio Properties.

5.5.8 Setting Alarm Latching


The latching setting for physiological alarms defines how alarm indicators behave if you do not reset the alarms.
For details on how to reset alarms, see Section 5.8.1 Resetting Alarms Triggered for Beds.
■ If you do not “latch” physiological alarms, their alarm indications disappear when the alarm condition ends.
■ If you “latch” physiological alarms, all visual and audible alarm indications remains until you reset the
alarms. For latched alarms the time when the alarm is last triggered is displayed behind the alarm message.
You can only set the physiological alarm latching conditions for telemetry devices at the CentralStation. For
details, see Section 12.8.2 Setting Alarm Properties for Telemetry Devices.

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.

5.6 Alarm Pause


You can pause alarms from patient monitors remotely via the CentralStation or the WorkStation under the
following conditions:
■ The patient monitors support alarm pause via the monitors themselves and via the CentralStation or the
WorkStation.
■ The Alarm Pause&Alarm Reset function is enabled at the CentralStation or the WorkStation. For details on
how to enable this function, see Section12.12.6 Setting Authorization Setup.
You can also pause alarms from telemetry devices at the CentralStation or the WorkStation.

5.6.1 Pausing Alarms


You have two ways to pause alarms.

5.6.1.1 Pausing Alarms in the Patient Sector


To pause alarms, follow this procedure:
1. Select the bed number and room number area in the upper left corner of the desired patient sector on
the multibed screen.
2. From the drop-down list, select the symbol.

5.6.1.2 Pausing Alarms on the ViewBed Screen


To pause alarms, follow this procedure:

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.

5.6.2 System Responses after Pausing Alarms


When alarms are paused, the CentralStation or the WorkStation responds as follows:
■ No physiological alarm issued by patient monitors will be presented.
■ For technical alarms issued by patient monitors and telemetry devices, alarm sounds are paused, but alarm
messages remain presented.
■ The symbol, Alarm Pause text, and alarm pause countdown time are displayed in the patient sector
and ViewBed screen. The background color of the Alarm Pause quick key remains red within the alarm
pause time.

5.7 Alarm Audio Pause


You can pause the alarm sound issued by ePM series and BeneVision N series patient monitors remotely via the
CentralStation or the WorkStation under the following conditions:
■ The alarm pause function is defined as the alarm audio pause at the ePM series and BeneVision N series
patient monitors side. For details on how to define the alarm audio pause function, see the operator’s
manual for these patient monitors.
■ 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.

5.7.1 Pausing Alarm Sound


To pause the alarm sound, follow this procedure:
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 Audio Pause quick key at the bottom of the screen.
The audio pause time of ePM series and BeneVision N series patient monitors needs to be configured on the
monitors. When the audio pause time expires, the audio paused status is automatically deactivated. You can also
cancel the audio paused status by pressing the Audio Pause quick key.

5.7.2 System Responses after Pausing Alarm Sound


When alarm sound is paused, the CentralStation or the WorkStation responds as follows:
■ The sound of all physiological alarms and technical alarms for the patient monitor are switched off but
alarm messages are still displayed on the screen.
■ The symbol is displayed in the patient sector and on the ViewBed screen. The background color of the
Audio Pause quick key remains red within the audio pause time.

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.

5.8.1 Resetting Alarms Triggered for Beds


You have two ways to reset alarms triggered for beds.

5.8.1.1 Resetting Alarms in the Patient Sector


Choose one of the following ways to reset alarms in the patient sector:
■ Select the alarm information area in the desired patient sector on the multibed screen → select Alarm
Reset.
■ Select the Alarm Reset button in the desired patient sector on the multibed screen.
■ 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.

5.8.1.2 Resetting Alarms on the ViewBed Screen


To reset alarms on the ViewBed screen, follow this procedure:
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 Reset 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.

5.8.1.3 System Responses after Resetting Alarms


When physiological alarms are reset, the following alarm indications are given:
■ The alarm sound is silenced.
■ The √ symbol appears before the alarm message, indicating that the alarm is acknowledged.
■ The color of the parameter numeric background corresponds with the alarm priority, but the parameter
numeric does not flash.
When technical 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.
For details on technical alarms, see appropriate operator’s manuals for monitoring devices.

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.

5.9 CMS System Silence


The CMS system sounds include alarm tone, nurse call tone, event sound tone, and other tones. Silencing the
CMS only silences the CMS system sounds. It does not affect the alarm sounds at monitoring devices. The CMS
system silence feature is disabled by default.

5.9.1 Silencing CMS


Silence the CMS in either of the following ways:
■ If the silence hot key is defined in the system setup screen, pressing this hot key silences the system
sounds. For details on how to define the silence hot key, see Section 12.4.4 Configuring Other Alarm-Related
Items.
■ Select the symbol at the top of the screen.

5.9.2 System Responses after Silencing CMS


When the system sounds are silenced, the following indications are given:
■ The symbol is displayed at the top of the main screen.
■ Audible alarm indications are not given, but other alarm indications, such as alarm messages, remain being
presented.

5.9.3 Exiting CMS Silenced Status


When a new alarm occurs, the system silenced status will be automatically released. You can also press the
silence hot key again or select the symbol to exit the system silenced status.

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.

6.2 Accessing the Review Screen


Methods for accessing the review screen for online patients and discharged patients are different.

6.2.1 Entering the Review Screen for Online Patients


To enter the review screen for online patients, select the Review tab beside the ViewBed screen, the patient
management screen, or the calculation screen.

6.2.2 Entering the Review Screen for Discharged Patients


To enter the review screen for discharged patients, follow this procedure:
1. Select the system menu area in the upper left corner of the screen.
2. From the drop-down list, select Discharged Patients.
3. From the discharged patients list, select the Detail button at the end of the discharged patient.
4. Select the Review tab.

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)

(8) (5) (6)

(7)

Figure 6-1 Example Review Page

(1) Current review tab

(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.

(7) Timeline: indicates the entire time length.


■ : indicates the time length of reviewable trend data. can be moved within this time length.
■ : indicates no patient monitoring. cannot be moved within this time length.
■ Different color blocks at the timeline indicate events of different types. See the color definition for the
event type indicator.

(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.

/ Go to the previous or next event.

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.

Patients’trend data or waveform data export setup symbol: it is displayed on the


tabular trends review page, graphic trends review page, and full disclosure review
page.
Note: the export setup 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.

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.

Indicates that parameter numerics are unreliable.

6.5 Common Operations on Review Pages


This section describes common operations on review pages.

6.5.1 Browsing Trend Data


Browse trend data in one of the following ways:
■ Move .
■ Move the cursor.
■ Move the scroll bar.

6.5.2 Viewing Events


You can view the following types of events:
■ Manually triggered events
■ Parameter-related operation events and alarm-related events, such as starting C.O. measurement
■ Operation events not related to parameters
To view these events, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select the desired review page.
3. View events in either of the following ways:
◆ Select and select the desired event.
◆ Select or to locate the previous or next event.

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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

6.5.3 Displaying Two Review Pages Simultaneously


When the display size of the CMS is greater than 19-inch, you can display two review pages simultaneously.
To do so, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select the desired review page.
3. Select the symbol located at the top right of the screen. A new review page will be displayed below
the desired review page.
You can browse trend data, view events, select other review tabs on the two review pages. If you refresh the
trend data by moving the cursor or on one review page, the trend data on the other review page will be
updated accordingly.

NOTE
• For 19-inch single display, two review pages can not be displayed simultaneously.

6.6 Tabular Trends Review Page


The tabular trends review page displays trend data in a tabular form. When external devices are connected to
the monitor via the BeneLink module, you can also view the trend data of the external devices on this review
page. Parameter labels from external devices are prefixed with the plus sign (+).

6.6.1 Entering the Tabular Trends Review Page


Enter the tabular trends review page in either of the following ways:
■ Select the button in the upper left corner of the review screen → from the drop-down list, select
Tabular Trends.
■ Select the parameter list area on the ViewBed screen.

6.6.2 Configuring Trends


To configure tabular trends, follow this procedure:
1. Enter the tabular trends review page.
2. Set Trend Group and select the desired option. For information on trend group settings, see Section
12.7.2.2 Renaming a Trend Group.
3. Set Interval and select the desired option. Among these options, selecting NIBP, TempIF, or C.O. means to
view the tabular trends when NIBP, infrared temperature, C.O. measurements were acquired. The default for
Interval in OR is 5 min and in other departments is 30 min.

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.

6.6.3 Printing a Tabular Trends Report


To print a tabular trends report, follow this procedure:
1. Enter the tabular trends review page.

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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.

Menu Item Description Options

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.

4. Select the desired options.


◆ Print Preview: previews the printout. Upon completion of preview, if you wish to start printing, select
Print.
◆ Print (All): prints a tabular trends report per Trend Group and Interval settings on the tabular trends
review page.
◆ Print: prints a tabular trends report per settings in the Print Setup menu

6.6.4 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 tabular trends review page or the graphic trends review
page. Patients’ trend data exported from these two review pages is the same. Exported trend data is saved in csv
format.
For more information on allowing exporting patients’ data, see Section 12.7.6 Setting Patient Data Export. For
more information on exporting patients’ trend data from the graphic review page, see Section 6.7.4 Exporting
Trend Data.
To export patients’ trend data, follow this procedure:
1. Enter the tabular trends review page.
2. Select the button in the upper right corner of this page. The Export Setup menu is displayed.
3. Set the desired options.

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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.

Save Path Select the path to save the trend data. /

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.

6.7 Graphics Trends Review Page


The graphic trends review page displays trend data in a graphic form. When external devices are connected to
the monitor via the BeneLink module, you can also view the trend data of the external devices on this review
page. Parameter labels from external devices are prefixed with the plus sign (+).

6.7.1 Entering the Graphic Trends Review Page


To enter the graphic trends review page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select Graphic Trends.

6.7.2 Setting Graphic Trends


To set graphic trends, follow this procedure:
1. Enter the graphic trends review page.
2. Set Trend Group and select the desired option. For information on trend group settings, see Section
12.7.2.2 Renaming a Trend Group.
3. Set Zoom. Select the desired length of trend data to view the most recent 240-hour data.
4. Select the desired number of Trends.

6.7.3 Printing a Graphic Trends Report


To print a graphic trends report, follow this procedure:
1. Enter the graphic trends review page.
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Set the desired options.
4. If you wish to preview the printout, select Print Preview.
5. Select Print.

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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.

6.8 Full Disclosure Review Page


On the full disclosure review page, you can view the compressed waveforms and detail waveforms for each
patient.

6.8.1 Entering the Full Disclosure Review Page


To enter the full disclosure review page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select Full Disclosure.

6.8.2 Selecting Waveforms


If you wish to review waveforms other than the default waveform on the full disclosure review page, you need to
select the desired waveforms.
To do so, follow this procedure:
1. Enter the full disclosure review page.
2. Select Setup. The Select Waveform menu is displayed.
3. Select the Storage tab.
4. Configure the desired waveforms.
5. Select the Display(Maximum: 3) tab.
6. Enable the desired waveforms to be displayed on the review page.

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

6.8.3 Compressed Waveform


The full disclosure review page displays the compressed waveform.

6.8.3.1 Setting the Scale of Compressed Waveform


To set the size of the compressed waveform, follow this procedure:
1. Enter the full disclosure review page.
2. Set the waveform scale in either of the following ways:
◆ Select the Scale button and then select the desired option.
◆ Select the waveform label on the left side of the review page to enter the Scale menu. Then select the
desired option.

6.8.3.2 Setting the Duration of Compressed Waveform


To set the length of the compressed waveform, follow this procedure:

6-7
1. Enter the full disclosure review page.
2. Select Duration.
3. Configure the desired Duration time.

6.8.3.3 Marking Arrhythmia


In the compressed waveform area, the background of compressed waveform segments at the arrhythmia alarm
trigger time is marked with a specific color automatically to indicate the arrhythmia category. For details on how
to set the arrhythmia mark color, see Section 12.7.5 Setting Arrhythmia Mark Colors.

6.8.3.4 Selecting Compressed Waveform Segments


You can select one or more compressed waveform segments and print these segments. For details on how to
print these segments, see Section 6.8.5 Printing Compressed Waveforms or Detail Waveforms.
To select compressed waveform segments, follow this procedure:
1. Enter the full disclosure review page.
2. Select compressed waveform segments in either of the following ways:
◆ Using a mouse: In the compressed waveform area, hold down the right mouse button and drag the
mouse to select the desired waveform segment. If you wish to select multiple waveform segments,
release the right mouse button and then select the desired waveform segments. You can move the
screen up and down to select more waveform segments.
◆ Using a touch screen: Press the Select button and then touch the waveform. Hold and drag your
finger to select the desired waveform segment. If you wish to move the screen up and down, you
need to re-select the Select button to exit the selected status.
If you wish to cancel current selection, select the button in the upper right corner of the waveform segment
selection window.

6.8.4 Detail Waveform Window


In the detail waveform window, you can view the full size waveforms and parameter numerics.
Access the detail waveform window in either of the following ways:
■ Select the Detail button in the compressed waveform window.
■ Double click the desired compressed waveform.
In the detail waveform window:
■ Timeline and waveforms are displayed in the upper part of the window.
■ Numeric values are displayed in the lower part of the window. The background color of parameters
indicate whether an alarm is triggered.
◆ No color: no alarm is triggered.
◆ Red: a high priority alarm is triggered.
◆ Yellow: a medium priority alarm is triggered.
◆ Cyan: a low priority alarm is triggered.
If you wish to close the detail waveform window, select the button in the upper right corner of the detail
waveform window.

6.8.4.1 Setting ECG Gain


To set the ECG gain, follow this procedure:
1. Enter the detail waveform window.
2. Select the ECG Gain button.
3. Configure the desired ECG gain.

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.

6.8.4.3 Caliper Measurement Overview


When full disclosure data is collected and stored in the CMS, horizontal calipers can be used to measure the PR,
QRS, QT, and R-R waveform intervals, and vertical calipers can be used to measure the ST waveform amplitude in
the detail waveform window.
Horizontal caliper and vertical caliper are as shown in Figure 6-2.

(2) (3) (4) (6)

(7)
(1)
(8)

(5)

(9)

Horizontal Caliper Vertical Caliper

Figure 6-2 Horizontal and Vertical Calipers

(1) Left caliper arm

(2), (7) Measurement line

(4) Close button: closes the caliper window without saving the measured value.

(5) Right caliper arm

(3), (8) Realtime measurement

(6) Upper caliper arm

(9) Lower caliper arm

Performing Measurements Using a Horizontal Caliper


Choose either of the following ways to perform measurements using a horizontal caliper:
Option 1:
1. Enter the detail waveform window.
2. Select Caliper. The Caliper menu is displayed.
3. Display a horizontal caliper in either of the following ways.
◆ Using a mouse: left or right click the mouse at a place in the desired waveform area and then drag the
cursor horizontally until your desired location is reached.
◆ Using a touch screen: select a place in the desired waveform area and then drag your finger on the
screen surface horizontally without losing the contact until the desired location is reached. If you
need to adjust the caliper, slightly touch the left or right caliper arm and select the appropriate
touchscreen control.
4. After finishing measurements, select PR, QRS, RR, and QT from the Caliper menu to obtain the measured
values. The QTc value is calculated after RR and QT value have been acquired.

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.

Performing Measurements Using a Vertical Caliper


To perform measurements using a vertical caliper, follow this procedure:
1. Enter the detail waveform window.
2. Select Caliper. The Caliper menu is displayed.
3. Select ST.
4. Display a vertical caliper in either of the following ways.
◆ Using a mouse: left click the mouse at a place in the desired waveform area and then drag the cursor
vertically until your desired location is reached.
◆ Using a touch screen: select a place in the desired waveform area and then drag your finger on the
screen surface vertically without losing the contact until the desired location is reached. If you need to
adjust the caliper, slightly touch the left or right caliper arm and select the appropriate touchscreen
control.
5. After finishing measurements, select ST from the Caliper menu to obtain the measured value.
6. 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.
Moving the Caliper
After displaying a caliper, you can also move calipers as shown below to measure the time difference between
any two points:
■ When the cursor is in the shape of , you can move the caliper horizontally.
■ When the cursor is in the shape of , you can move the caliper vertically.
■ When the cursor is in the shape of inside the caliper, you can move the entire caliper window.
■ Select the button or the button in the horizontal caliper measurement area.
■ Select the button or the button in the vertical caliper measurement area.
Canceling Caliper Measurements
During caliper measurement, you can cancel a caliper measurement in either of the following ways:
■ Select the Caliper button.
■ Select anywhere in the waveform area.
■ Select the button in the caliper window.

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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.

6.8.4.5 Other Operations in the Detail Waveform Window


In the detail waveform window, you can save events and export waveforms to third party systems.
To do so, follow this procedure:
1. Enter the detail waveform window.
2. Select the button in the upper right corner of the window.
3. Select the desired option.
◆ Save As Event: displays the Saved Event dialog box. The event can be saved with the desired Name
and Comments. The default name for the event is Saved Event. The saved event is marked as a
manual event on the event review page.
◆ Export to EMR: export 20 seconds of waveform data after the start time of current waveform to third
party systems.

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.

6.8.5 Printing Compressed Waveforms or Detail Waveforms


To print the compressed waveform or detailed waveform, follow this procedure:
1. Enter the full disclosure review page.
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Select the desired options. Only items that may need special remarks are described here.
◆ Print Waveform Overview: prints the compressed waveform displayed on the full disclosure review
page.
◆ Print Overview of Selected Waveforms: prints the selected compressed waveform segments. For
details on how to select compressed waveform segments, see Section 6.8.3.4 Selecting Compressed
Waveform Segments.

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◆ 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.

6.8.6 Recording Detailed Waveforms


To record detailed waveforms, follow this procedure:
1. Enter the full disclosure review page.
2. Enter the detail waveform window. For information regarding accessing to this window, see Section 6.8.4
Detail Waveform Window.
3. Select the button in the upper right corner of this page. The Record Setup menu is displayed.
4. Select the desired options.
◆ Record Displayed Detailed Waveforms: records the detail waveform for the entire compressed
waveform.
◆ Record Selected Detailed Waveforms: records 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.
5. Select Record.

6.8.7 Exporting Waveform 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’ waveform data from the full disclosure review page. For more information on
allowing exporting patients’ data, see Section 12.7.6 Setting Patient Data Export.
To export patients’ waveform data, follow this procedure:
1. Enter the full disclosure review page.
2. Select the button in the upper right corner of this page. The Export Setup menu is displayed.
3. Set the desired options.

Menu Item Description Options

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.

Save Path Select the path where exported /


waveform data is saved..

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.

6.9 Events Review Page


On the events review page, you can view physiological alarm events, manual events, and operational events.
When external devices are connected to the monitor via the BeneLink module, you can also view the data of the
external devices on this review page. Parameter labels from external devices are prefixed with the plus sign (+).

6.9.1 Entering the Events Review Page


To enter the events review page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select Events.

6.9.2 Event List


In the event list:
■ Events are displayed in descending chronological order. The most recent event is displayed at the top. The
number of asterisk symbols before an event matches different alarm priorities.
◆ ***: high priority alarm
◆ **: medium priority alarm
◆ *: low priority alarm
■ Event lock status, trigger time, alarm priority, and event remarks if available are displayed for each event.
■ Different color blocks are displayed on the left of each event to indicate different event types.
◆ Red: high priority alarm event
◆ Yellow: medium priority alarm event
◆ Cyan: low priority alarm event
◆ Green: manual event
◆ White: operation-related event

6.9.2.1 Setting Filters


You can filter events by time, alarm priority, alarm category, and parameter group.
To filter events, follow this procedure:
1. Enter the event review page.
2. Enable Filter.
3. Select Filter Setup and set the desired filter criterion. The combination of selected filter criteria is used to
filter events. Events after filtering will be displayed in the event list.

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.

6.9.2.2 Other Operations in the Event List


To perform other event-related operations, follow this procedure:
1. Enter the event review page.
2. Select the desired event from the event list.
3. Select the button.
4. Select the desired option. Only items that may need special remarks are described here. The functions of
locking and unlocking events is available in the CentralStation only.
◆ Lock: lock the event manually. When the event is locked, the symbol is displayed. The locked
event needs to be unlocked before being deleted. Events can also be locked automatically. For details,
see Section 12.7.4 Setting Events.
◆ Rename: you can rename a manual event or an arrhythmia alarm event.
◆ Note: you can enter comments for the event. When comments are available, the symbol is
displayed. You can also modify or delete comments in the event detail window. Up to 32 characters
can be entered.

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.

6.9.3 Event Detail Window


Enter the event detail window in either of the following ways:
■ Double click or tap the desired event from the event list.
■ Select the Detail button on the event review page.
In the event detail window:
■ The upper half of the window displays:
◆ Event name: displays in the upper left corner.
◆ Event triggered time: displays in red font.
◆ Waveform: 16 seconds of waveforms before and after the event triggered time.
■ Numeric values are displayed in the lower part of the window. The background color of parameters
indicate whether an alarm is triggered.
◆ No color: no alarm is triggered.
◆ Red: a high priority alarm is triggered.
◆ Yellow: a medium priority alarm is triggered.
◆ Cyan: a low priority alarm is triggered.
If you wish to close the event detail window, select the button.

6.9.3.1 Configuring ECG Gain


To configure the ECG gain, follow this procedure:
1. Enter the event detail window.
2. Select ECG Gain.
3. Select the desired gain.

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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.

6.9.3.3 Caliper Measurement


For details on how to perform caliper measurement, see Section 6.8.4.3 Caliper Measurement Overview.

6.9.3.4 Setting Beat Annotation


For details on how to set beat annotation, see Section 6.8.4.4 Setting Beat Annotation.

6.9.3.5 Other Operations in the Event Detail Window


In the event detail window, you can perform operations such as renaming events.
To do so, follow this procedure:
1. Enter the event detail window.
2. Select the button in the right corner of the window.
3. Select the desired option. Among these options, selecting Export to EMR exports the event related data to
third party systems.

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.

6.9.4 Printing Events


To print the desired event list or event details, follow this procedure:
1. Enter the event review page.
2. Select the desired events from the event list.
3. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
4. Select the desired options.
◆ Print All Event List: print the entire event list.
◆ Print List of Selected Events: print the selected events list.
◆ Print Overview of Selected Events: when multiple events are selected from the event list, selecting
this option prints these events on the same page and outputs an event overview report.
◆ Print Detail of Selected Events: print the details of selected events.
◆ Print Displayed Event Detail: print the details of the selected event. If you wish to select this option,
you need to open the event detail window first. If waveform data is available for the selected event, 16
seconds of waveforms before and after the alarm trigger time are printed by default. The actual
waveform data printed depends on the option selected for Printing Duration. For details on how to
set Printing Duration, see Section 12.10.9 Setting Other Print-Related Items.
5. If you wish to preview the printout, select Print Preview.
6. Select Print.

NOTE
• Print preview is not applicable for Print Detail of Selected Events.

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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.

6.10 12-Lead ECG Review Page


You can review 12-lead analysis events on the 12-lead ECG review page.

6.10.1 Entering the 12-Lead Review Page


To enter the 12-lead ECG review page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select 12-Lead ECG.

6.10.2 Median Complex Window (For Glasgow Algorithm Only)


On the 12-lead ECG review page, selecting Median Complex enters the median complex window.
In the median complex window, the median complex template marks the start and end position of P-wave and
QRS-wave and the end position of T-wave.
Selecting Waveform returns to the 12-lead ECG waveform review page.

6.10.3 Configuring 12-Lead ECG Waveforms


To configure 12-lead ECG waveforms on the review page, follow this procedure:
1. Enter the 12-lead ECG review page.
2. Configure Speed and Gain.
3. Configure Layout.
◆ 12×1: displays 12-lead ECG waveforms on one page in one column.
◆ 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.

6.10.4 Caliper Measurement


Horizontal calipers can be used to measure the PR, QRS, QT, and R-R waveform intervals, and vertical calipers can
be used to measure the ST waveform amplitude in the median complex window.
To perform measurements using a horizontal or vertical caliper, follow this procedure:
1. Enter the 12-lead ECG review page.
2. Select the Caliper button.
3. From the drop-down list, select the desired option:
◆ Caliper: perform measurement using a horizontal caliper.
◆ ST Caliper: perform measurement using a vertical caliper.
4. Display a caliper.
5. Obtain measured values.
For details on how to display a horizontal or vertical caliper, how to obtain measured values, and how to move a
caliper, see Section 6.8.4.3 Caliper Measurement Overview.

6 - 16
NOTE
• The measured caliper values on the 12-lead analysis review page are not saved on the event review
page.

6.10.5 Printing 12-Lead Analysis Reports


To print a12-lead ECG analysis report, follow this procedure:
1. Enter the 12-lead ECG review page.
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Set the desired options.
4. Select Print.

6.11 ST Review Page


You can review ST segments and values on the ST review page.

6.11.1 Entering the ST Review Page


To enter the ST review page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select ST.

6.11.2 Setting ST Reference Templates


You can set the desired ST template as a reference template.
To do so, follow this procedure:
1. Enter the ST review page.
2. Select the desired ST template.
3. Select Set Reference.

6.11.3 Displaying/Hiding ST Reference Templates


On the ST review page, select Display Reference or Hide Reference.
■ Display Reference: the ST template storage time is displayed on the right of current segment and ST
values are also displayed on the reference template.
■ Hide Reference: hide the ST reference template.

6.11.4 Displaying/Hiding Markers


On the ST review page, select Display Marker or Hide Marker.
■ Display Marker: a white vertical bar appears above each waveform, marking the positions of ISO, J point,
and ST point.
■ Hide Marker: the positions of ISO, J point, and ST point are not displayed.

6.11.5 Printing ST Segment Waveforms


To print ST segment waveforms, follow this procedure:
1. Enter the ST review page.
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Set the desired options.
4. Select Print.

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.

6.12.1 Entering the Arrhythmia Statistics Page


To enter the arrhythmia statistics page, follow this procedure:
1. Select the button in the upper left corner of the review screen.
2. From the drop-down list, select Arrhy Statistics.

6.12.2 Viewing Arrhythmia Statistics


To view arrhythmia statistics, follow this procedure:
1. Enter the arrhythmia statistics page.
2. If you wish to view arrhythmia statistics in a tabular format, select Tabular in the upper right corner of this
page.
3. Select Zoom to view arrhythmia events within a specific time period. The default for Zoom is 24 hrs.
4. If you wish to view arrhythmia statistics in a graphic format, select Graphic.
On the graphic arrhythmia statistics page:
■ The left side displays the name, times of occurrence, and duration of arrhythmias. The right side displays
the arrhythmia occurrence time and colored block which matches different alarm priorities.
◆ Red: high alarm priority
◆ Yellow: medium alarm priority
◆ Cyan: low alarm priority
■ Selecting the desired arrhythmia on the left displays the waveform area on the right side. After selecting
the waveform area, you can view more details about this arrhythmia.

6.12.3 Printing Arrhythmia Statistics Results


To print arrhythmia statistics results, follow this procedure:
1. Enter the arrhythmia statistics page.
2. Select the button in the upper right corner of this page. The Print Setup menu is displayed.
3. Set the desired options.
4. Select Print.

6 - 18
7 Calculation

7.1 Calculation Overview


The CMS provides calculation functions. The calculated values, which are not directly measured, are computed
based on the values you provide. Any operation on a calculation page does not affect the patient monitored by
the CMS.
The CMS can perform the following calculations:
■ Drug calculations
■ Hemodynamic calculations
■ Oxygenation calculations
■ Ventilation calculations
■ Renal calculations

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.

7.2 Calculation Safety Information

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.

7.3 Accessing the Calculation Screen


Access the calculation screen in either of the following ways:
■ Select the waveform or parameter area in the desired patient sector on the multibed screen to enter the
ViewBed screen → select the Calculations tab.
■ Select the patient information area of the desired patient sector on the multibed screen to enter the
patient management screen → select the Calculations tab.

7-1
7.4 Drug Calculations
On the drug calculation page, you can perform drug calculation, view calculation result, and print the titration
table.

7.4.1 Performing Drug Calculations


To perform drug calculations, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.

2. From the drop-down list, select Drug to access the drug calculation page.

3. Select the Calculator tab.

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.

7. Select Calculate. The calculated values are indicated by red arrows.

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.

7.4.2 Viewing a Titration Table


The titration table shows information on the currently used drugs. You can view the drug dose that will be
applied to the patient at different infusion rates.
To access the titration table, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.
2. From the drop-down list, select Drug to access the drug calculation page.
3. Select the Titration Table tab.

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:

◆ Dose: lists the drug doses in ascending order.


◆ Infusion Rate: lists the infusion rates in ascending order.
◆ Exact Rate: the resolution of the infusion rate can reach 0.01 so that you can display the infusion rate
more accurately.

7.4.3 Printing a Titration Table


Select the button in the upper right corner of the titration table to print the calculation result.

7-2
7.4.4 Drug Calculation Formula

Description Unit 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

Solution Volume ml Volume = Infusion Rate × Infusion Time

Dose Dose/hr Dose = Infusion Rate × Concentration


Dose/min

Dose (weight based) Dose/kg/hr Dose (weight based) = Infusion Rate ×


Dose/kg/min Concentration/Weight

Concentration mcg/ml, mg/ml, g/ml, Unit/ml, Concentration = Drug Amount/Solution Volume


KU/ml, MU/ml, mEq/ml

Infusion Time hr Infusion time = Drug Amount/Dose

Infusion Time (weight based) hr Infusion Time (weight based) = Drug Amount/(Dose
× Weight)

Infusion Rate ml/hr Infusion Rate = Dose/Concentration

Infusion rate (weight based) g•ml/hr Infusion Rate = Dose × Weight/Concentration

7.4.5 Titration Table Calculation Formula

Description Unit Formula

Infusion Rate ml/hr Infusion Rate = Dose/Concentration

Infusion Rate (weight based) ml/hr Infusion Rate = Weight × Dose/Concentration

Dose Dose/hr Dose = Infusion Rate × Concentration


Dose/min

Dose (weight based) Dose/kg/hr Dose (weight based) = INF Rate × Concentration/
Dose/kg/min Weight

7.5 Hemodynamic Calculations


On the hemodynamic calculation page, you can perform hemodynamic calculation, view and print the
calculation result.

7.5.1 Performing Hemodynamic Calculations


To perform hemodynamic calculation, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.
2. From the drop-down list, select Hemodynamics to access the hemodynamic calculation page.
3. Enter values. For a patient who is being monitored, the currently measured values are automatically
populated.

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.

7.5.2 Viewing Hemodynamic Calculation Results


Upon completion of hemodynamic calculation, the most recent 100 calculation results are stored in the CMS
automatically. The calculation time is displayed on the left of the hemodynamic calculation page. You can select
the desired calculation time to view corresponding calculation result.

7.5.3 Printing Hemodynamic Calculation Results


Select the button in the upper right corner of the hemodynamic calculation page to print the
calculation result.

7.5.4 Input Parameters for Hemodynamic Calculations

Input Parameter Label Unit

cardiac output C.O. L/min

heart rate HR bpm

pulmonary artery wedge pressure PAWP mmHg

artery mean pressure PMAP mmHg

pulmonary artery mean pressure PA Mean mmHg

central venous pressure CVP mmHg

end-diastolic volume EDV ml

height Height cm

weight Weight kg

7.5.5 Calculated Parameters and Formulas for Hemodynamic Calculations

Calculated Parameters Label Unit Formula

cardiac index C.I. L/min/m2 C.I. (L/min/m2) = C.O. (L/min)/BSA (m2)

body surface area BSA m2 BSA (m2) = Wt0.425 (kg) × Ht 0.725 (cm) ×
0.007184

stroke volume SV ml SV (ml) = 1000× C.O. (L/min)/HR (bpm)

stroke index SVI ml/m2 SVI (ml/m2) = SV (ml)/BSA (m2)

systemic vascular SVR DS/cm5 SVR (DS/cm5) = 79.96 × [APMAP (mmHg) -


resistance CVP (mmHg)]/C.O. (L/min)

systemic vascular SVRI DS•m2/cm5 SVRI (DS•m2/cm5) = SVR (DS/cm5) × BSA (m2)
resistance index

pulmonary vascular PVR DS/cm5 P VR (DS/cm5) = 79.96 × [PAMAP (mmHg) -


resistance PAWP (mmHg)]/C.O. (L/min)

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

ejection fraction EF % EF (%) = 100 × SV (ml)/EDV (ml)

End-diastolic volume EDVI ml/m2 EDVI (ml/m2) = EDV (ml)/BSA (m2)


index

End-systolic Volume ESV ml ESV (ml) = EDV (ml) –SV (ml)

End-systolic Volume index ESVI ml/m2 ESVI (ml/m2) = ESV (ml)/BSA (m2)

7.6 Oxygenation Calculations


On the oxygenation calculation page, you can perform oxygenation calculation, view and print the calculation
result.

7.6.1 Performing Oxygenation Calculations


To perform oxygenation calculations, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.
2. From the drop-down list, select Oxygenation to access the oxygenation calculation page.
3. Enter values. For a patient who is being monitored, the currently measured values are automatically
populated.

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.

7.6.2 Viewing Oxygenation Calculation Results


Upon completion of oxygenation calculation, the most recent 100 calculation results are stored in the CMS
automatically. The calculation time is displayed on the left of the oxygenation calculation page. You can select
the desired calculation time to view corresponding calculation result.

7.6.3 Printing Oxygenation Calculation Results


Select the button in the upper right corner of the oxygenation calculation page to print the calculation
result.

7-5
7.6.4 Input Parameters for Oxygenation Calculations

Input Parameter Label Unit

cardiac output C.O. L/min

percentage fraction of inspired oxygen FiO2 %

partial pressure of oxygen in the arteries PaO2 mmHg, kPa

partial pressure of carbon dioxide in the arteries PaCO2 mmHg, kPa

arterial oxygen saturation SaO2 %

partial pressure of oxygen in venous blood PvO2 mmHg, kPa

venous oxygen saturation SvO2 %

hemoglobin Hb g/L, g/dl, mmol/L

respiratory quotient RQ None

atmospheric pressure ATMP mmHg, kPa

height Height cm, inch

weight Weight kg, lb

7.6.5 Calculated Parameters and Formulas for Oxygenation Calculations

Calculated Parameters Label Unit Formula

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

oxygen extraction ratio O2ER % O2ER (%) = 100×C(a-v)O2 (ml/L)/CaO2 (ml/L)

oxygen transport DO2 ml/min DO2(ml/min) = C.O. (L/min) × CaO2(ml/L)

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.

7.7.1 Performing Ventilation Calculations


To perform ventilation calculations, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.
2. From the drop-down list, select Ventilation to access the ventilation calculation page.
3. Enter values. For a patient who is being monitored, the currently measured values are automatically
populated.

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.

7.7.2 Viewing Ventilation Calculation Results


Upon completion of ventilation calculation, the most recent 100 calculation results are stored in the CMS
automatically. The calculation time is displayed on the left of the ventilation calculation page. You can select the
desired calculation time to view corresponding calculation result.

7.7.3 Printing Ventilation Calculation Results


Select the button in the upper right corner of the ventilation calculation page to print the calculation
result.

7.7.4 Input Parameters for Ventilation Calculations

Input Parameter Label Unit

percentage fraction of inspired oxygen FiO2 %

respiration rate RR rpm

partial pressure of mixed expiratory CO2 PeCO2 mmHg, kPa

partial pressure of carbon dioxide in the arteries PaCO2 mmHg, kPa

partial pressure of oxygen in the arteries PaO2 mmHg, kPa

tidal volume TV ml

respiratory quotient RQ None

atmospheric pressure ATMP mmHg, kPa

7-7
7.7.5 Calculated Parameters and Formulas for Ventilation Calculations

Calculated Parameters Label Unit Formula

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)

oxygenation ratio Pa/FiO2 mmHg, kPa Pa/FiO2(mmHg) = 100 × PaO2 (mmHg)/FiO2


(%)

arterial to alveolar oxygen a/AO2 % a/AO2 (%) = 100 × PaO2 (mmHg)/PAO2


ratio (mmHg)

minute volume MV L/min MV (L/min) = [TV (ml) × RR (rpm)]/1000

volume of physiological Vd ml Vd (ml) = TV (ml) × [1 - PeCO (mmHg)/PaCO (mmHg)]


2 2
dead space

physiologic dead space in Vd/Vt % Vd/Vt (%) = 100 × Vd (ml)/TV (ml)


percent of tidal volume

alveolar volume VA L/min VA (L/min) =[TV (ml) - Vd (ml)] × RR (rpm)/


1000

7.8 Renal Calculations


On the renal calculation page, you can perform renal calculation, view and print the calculation result.

7.8.1 Performing Renal Calculations


To perform renal calculations, follow this procedure.
1. Select the button in the upper left corner of the calculation screen.
2. From the drop-down list, select Renal to access the renal calculation page.
3. Enter values.

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.

7.8.2 Viewing Renal Calculation Results


Upon completion of renal calculation, the most recent 100 calculation results are stored in the CMS
automatically. The calculation time is displayed on the left of the renal calculation page. You can select the
desired calculation time to view corresponding calculation result.

7.8.3 Printing Renal Calculation Results


Select the button in the upper right corner of the renal calculation page to print the calculation result.

7-8
7.8.4 Calculated Parameters and Formulas for Renal Calculations

Input Parameter Label Unit

urine pstassium URK mmol/L

urinary sodium URNa mmol/L

urine Urine ml/24 hrs

plasm osmolality Posm mOsm/kgH2O

urine osmolality Uosm mOsm/kgH2O

serum sodium SerNa mmol/L

creatinine Cr μmol/L

urine creatinine UCr μmol/L

blood urea nitrogen BUN mmol/L

height Height cm

weight Weight kg

7.8.5 Calculated Parameters and Formulas for Renal Calculations

Calculated Parameters Label Unit Formula

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]

fractional excretion of FENa % FENa (%) = 100 × URNa (mmol/L) × Cr (μmol/


sodium L)/[SerNa (mmol/L) × Ucr (μmol/L)]

osmolar clearance Cosm ml/min Cosm (ml/min) = Uosm (mOsm/kgH2O) ×


Urine (ml/24 hrs)/(Posm (mOsm/kgH2O) ×
1440)

free water clearance CH2O ml/hr CH2O (ml/hr) = Urine (ml/24 hrs) × [1 - Uosm
(mOsm/kgH2O)/Posm (mOsm/kgH2O)]/24

urine to plasma U/P osm None U/P osm = Uosm (mOsm/kgH2O)/Posm


osmolality ratio (mOsm/kgH2O)

blood urea nitrogen BUN/Cr* Mmol/L BUN/Cr = 1000 × BUN (mmol/L)/Cr (μmol/L)
creatinine ratio

urine-serum creatinine U/Cr None U/Cr (mmol/L) = Ucr (μmol/L)/Cr (μmol/L)


ratio

*: BUN/Cr is a ratio at mol unit system.

7-9
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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.

8.2 Accessing the Paging Window


To access the Paging window, follow this procedure:
1. Select the system menu area in the upper left corner of the main screen.
2. From the drop-down list, select the Paging option.
3. Enter the password if required and select the OK button.

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.

8.3 Adding a Pager


To add a pager, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. Select the Add a New Pager button. The Add a New Pager dialog box is displayed.
3. In the Pager Number text box, enter the desired number. Up to 16 characters can be entered.
4. In the Pager Assignment text box, enter the name of the person who will be responsible for the pager or
some other identifying information.
5. Select the OK button.

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.

8.4.1 Assigning an Online Bed to a Pager


To assign an online bed to a pager, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. From the Pager List, select the button on the right of the desired pager.
3. Select the Add Online Bed button.
4. From the bed list, select the desired bed.
5. Select the OK button. The assigned bed is displayed under the pager.

8.4.2 Assigning a Manually Input Bed to a Pager


You can manually enter the desired bed number and assign it to a pager. To do so, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. From the Pager List, select the button on the right of the desired pager.
3. Select the Add Bed Manually button.
4. In the Bed No text box, enter the desired bed number.
5. Select the OK button. The assigned bed is displayed under the pager.

8.5 Removing a Bed Assignment


To remove an existing bed assignment from a pager, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. From the Pager List, select a pager. The list of beds is displayed under the pager.
3. Select the bed you wish to remove assignment.
4. Select the button on the right of the bed.

8.6 Editing a Pager


To edit an existing pager number or pager assignment, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. From the Pager List, select the button on the right of the desired pager.
3. Select the Modify button. The Modify dialog box is displayed.
4. Edit the pager information. The Pager Number and Pager Assignment are required fields.
5. Select the OK button.

8.7 Removing a Pager


To remove a pager, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. From the Pager List, select the button on the right of the desired pager.
3. Select the Delete button. The Are you sure you want to delete this pager and all its assignments?
question dialog box is displayed.
4. Select the OK button.

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.

To resend a failed page, follow this procedure:


1. In the Paging window, select the Failed Pages tab.
2. Select a failed page from the list box. If you want to select all the failed pages, select the Select All button.
3. Select the Resend button. The failed page is resent and the row is removed from the list box if the page
was successfully resent. If the page was not successfully resent, a new row will be added to the top of the
Failed Pages window list box with an updated date and time stamp.

8.9 Generating a Paging Report


To generate a paging report, follow this procedure:
1. In the Paging window, select the Pager Assignment tab.
2. Select the button in the upper right corner of the window.

8-3
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8-4
9 Printing

9.1 Supported Printers


The CMS can be connected to a printer to output reports on A4 or Letter paper. The printer has a separate power
supply. The CMS supports the following printers:
■ HP LaserJet 401n
■ HP LaserJet M602
■ HP LaserJet M605n
■ HP LaserJet M608
■ PDF printer

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.

9.2 Starting Printing


You can start a printing task manually or set the printer to start a printing task automatically.

9.2.1 Manually Starting Printing


You can manually start printing reports such as summary information, trends data, and calculation results.

9.2.1.1 Printing Summary Reports


When monitoring devices are being monitored by the CMS, you can print their summary reports which includes
information such as patient information, realtime data, and alarm data.
To print a summary report, follow this procedure.
1. Select the button in the upper right corner of the main screen.
2. Select Print Summary.

9.2.1.2 Printing All Realtime Reports


You can print realtimereports for all the online beds. Reports for beds in standby mode or beds where patients
have been discharged cannot be printed.
To print reports for all patients, follow this procedure.
1. Select the button in the upper right corner of the main screen.
2. Select Print All Realtime Reports. The Print All Realtime Reports dialog box is displayed.
3. Select OK.

9.2.1.3 Printing Review Data


For details on how to print tabular trends, graphic trends, waveform review, waveform segment, event review,
12-lead analysis review, ST segment, and arrhythmia statistics result, see Chapter 6 Review.

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.

9.2.1.5 Printing Realtime Waveforms


To print realtime waveforms for a single monitoring device, choose 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 and then select the Print button from the drop-down list.
■ On the ViewBed screen, select the Print quick key.
■ Select the Print button in the Realtime Report menu on the ViewBed screen. For details on how to access
the Realtime Report menu, see Section 9.5.2.1 Setting Realtime Reports in the Report Setup Tab.

9.2.1.6 Printing ECG Reports


When ECG monitoring with lead sets other than 3-lead is being performed, you can print corresponding ECG
reports by following the procedure below.
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. Access the ECG full screen in one of the following ways:
◆ On the ViewBed screen, select the ECG Full-Screen quick key.
◆ On the ViewBed screen, select the Screen Setup quick key → select the ViewBed tab → select the
Choose Screen tab → select ECG Full-Screen. If you are performing 12-lead ECG monitoring, select
the Choose Screen tab → select ECG 12-Lead.
◆ Select the ECG parameter area or waveform area to access the ECG menu → select the Full-Screen
button in the lower left corner of the menu. If you are performing 12-lead ECG monitoring, select the
12-Lead.
3. Select the print button in either of the following ways:
◆ On the ViewBed screen, select the Print quick key.
◆ Select Print in the lower right corner of the ECG Report menu. For details on how to access this
menu, see Section 9.5.2.2 Setting ECG Reports in the Report Setup Tab.
4. Select the bed number and room number area in the upper left corner of the desired patient sector on
the multibed screen and then select the Print button from the drop-down list.

NOTE
• For details on how to set the ECG reports, see Section 9.5.2.2 Setting ECG Reports in the Report Setup
Tab.

9.2.1.7 Printing EEG Reports (BIS Module)


To print EEG reports, follow this procedure:
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. Access the BIS menu in either of the following ways:
◆ Select a BIS waveform or parameter area.
◆ Select the Parameter Setup quick key → select BIS.
3. Select the BIS Expand button at the bottom of the menu.

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.

9.2.1.8 Printing CCO-Related Hemodynamic Parameters


To print CCO-related hemodynamic parameters, follow this procedure:
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. Access the CCO menu in either of the following ways:
◆ Select the CCO parameter area.
◆ Select the Parameter Setup quick key at the bottom of the screen → select CCO.
3. Select the HemoSight button at the bottom of the menu.
4. Select the Diagnosis tab.
5. Select the button in the upper left corner. The Print Setup menu is displayed.
6. After selecting desired settings, select Print.

9.2.1.9 Printing ICG-Related Hemodynamic Parameters


To print ICG-related hemodynamic parameters, follow this procedure:
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. Access the ICG menu in either of the following ways:
◆ Select the ICG waveform or parameter area.
◆ Select the Parameter Setup quick key at the bottom of the screen → select ICG.
3. After selecting desired settings, select the Hemodynamic Parameters button at the bottom of the menu.
4. Select the button in the upper left corner. The Print Setup menu is displayed.
5. After selecting desired settings, select Print.

9.2.1.10 Printing SvO2/ScvO2-Related Hemodynamic Parameters


To print SvO2/ScvO2-related hemodynamic parameters, follow this procedure:
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. Access the SvO2 or ScvO2 menu in either of the following ways:
◆ Select the SvO2 or ScvO2 parameter area.
◆ Select the Parameter Setup quick key at the bottom of the screen → select SvO2/ScvO2.
3. Select the HemoSight button at the bottom of the menu.
4. Select the Diagnosis tab.
5. Select the button in the upper left corner. The Print Setup menu is displayed.

9-3
6. After selecting desired settings, select Print.

9.2.1.11 Printing QT Reports


You can print QT reports at the CMS under the following conditions:
■ When a bedside monitor supports printing QT reports via the CMS and is performing QT analysis.
■ When a telemetry device is performing QT analysis at the CMS.
To print a QT report, follow this procedure:
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. Access QT View in one of the following ways:
◆ Select the QT parameter area to access the QT menu→ select the QT View button at the bottom of
the menu.
◆ Select the ECG waveform or parameter area to access the ECG menu → select the QT tab → select the
QT View button at the bottom of the menu.
◆ Select the Parameter Setup quick key at the bottom of the screen → select ECG→ select the QT tab
→ select the QT View button at the bottom of the menu.
3. Select the button in the upper left corner. The Print Setup menu is displayed.
4. After selecting desired settings, select Print.

9.2.1.12 Printing ST View


The ST View shows a complete QRS segment for each ST lead. To print ST View, follow this procedure:
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. Access ST View in one of the following ways:
◆ Select ST segment waveform area.
◆ Select the ST parameter area to access the ST menu → select the ST View button at the bottom of
the menu.
◆ Select the ECG waveform or parameter area to access the ECG menu → select the ST tab → select the
ST View button at the bottom of the menu.
3. Select the button in the upper left corner. The Print Setup menu is displayed.
4. After selecting desired settings, select Print.

9.2.1.13 Printing Frozen Waveforms


For details on how to print frozen waveforms, see Section 3.5.8.3 Printing Frozen Waveforms.

9.2.1.14 Printing Alarm Setup


To print alarm setup, follow this procedure:
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 Setup quick key at the bottom of the screen.

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.

9.2.1.15 Printing Paging Assignment Reports


For details on how to print a paging assignment report, see Section 8.9 Generating a Paging Report.

9.2.1.16 Printing ECG 24h Summary


To print an ECG 24h summary, follow this procedure:
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 ECG 24h Sum quick key at the bottom of the screen.
3. Select the button in the upper left corner. The Print Setup menu is displayed.
4. Selecting the desired settings.
5. If you wish to preview the printout, select Print Preview.
6. Select Print.

9.2.2 Automatically Starting Printing


You can set a printer to start printing reports automatically.

9.2.2.1 Setting Scheduled Printing


You can set scheduled printing of reports. For details, see Section 9.5.3 Setting End Case Reports and 12.10.3
Setting Scheduled Reports.

9.2.2.2 Enabling Print on Alarm


When a parameter alarm switch is set to on and an alarm is triggered for this parameter, you can set a printer to
start alarm printing automatically.
To enable automatic printing via the printer when an alarm is triggered, make sure that Print on Alarm is set to
Printer. For detail, refer to 12.10.9 Setting Other Print-Related Items.
To enable the printer to automatically start printing 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: prints 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: prints the configured length of waveform data for the parameter automatically and sends the
alarm message to corresponding paging device.

9.3 Stopping Printing


To stop a printing task, follow this procedure:

9-5
1. Select the button in the upper right corner of the CMS main screen.

2. Select Print Queue.


3. Select one printing task and then select Delete to stop this printing task; select all the printing tasks and
then select Delete All to stop all the printing tasks.

9.4 Viewing Printer Statuses


You can view the status of the most recent printing tasks in the Print Queue window. To view the status of
printing tasks, follow this procedure:

1. Select the button in the upper right corner of the CMS main screen.

2. Select Print Queue.

9.5 Configuring Reports


You can configure report related contents such as patient information items on a report. For details, see Section
12.10 Print Tab. This section only describes how to set realtime reports, ECG report, and end case reports for a
single monitoring device in the Print Setup menu.

9.5.1 Accessing the Print Setup Menu


To access the Print Setup menu, follow this procedure:
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 Print Setup quick key at the bottom of the screen to enter the Print Setup menu. If this quick
key is not available, configure it by following steps in 3.5.4 Displaying the Parameter List.

9.5.2 Setting Realtime Reports and ECG Reports


In the Report Setup tab, you can set realtime reports and ECG reports.

9.5.2.1 Setting Realtime Reports in the Report Setup Tab


To set realtime reports, follow this procedure:
1. In the Print Setup menu, select the Report Setup tab.
2. Select the Realtime Report tab.
3. Set Speed.
4. Select waveforms to be printed.
◆ Current Waveforms: print the realtime report for current waveforms.
◆ Selected Waveforms: print the realtime report for the selected waveforms. If you wish to select this
option, you need to further select Select Waveform and select the desired waveforms in the Select
Waveform menu.

9.5.2.2 Setting ECG Reports in the Report Setup Tab


When ECG monitoring with lead sets other than 3-lead is being performed, you can set ECG reports.
To do so, follow this procedure:
1. In the Print Setup menu, select the Report Setup tab.
2. Select the ECG Report tab.
3. Set the desired options. Only items that may need special remarks are described here.

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 Setting End Case Reports


When you discharge a patient, if you select Print End Case Report, the selected end case reports in the System
Setup menu will be printed automatically. But the report contents for each bed are configured in the End Case
Report tab.
For more information regarding the system setup menu, see Section 12.10.4 Setting End Case Reports.

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.

9.5.3.3 Setting Event Reports in the End Case Report Tab


To set event reports as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the Event Report tab.
3. Select the desired event type.

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.

9.5.3.5 Setting Realtime Reports in the End Case Report Tab


To set realtime reports as end case reports, follow this procedure:
1. In the Print Setup menu, select the End Case Report tab.
2. Select the Realtime Report tab.
3. Set the desired options. For details on how to set the options, see Step 3 and Step 4 of Section 9.5.2.1
Setting Realtime 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.

9.5.4 Setting Scheduled Reports


You set scheduled printing of reports in the Print Setup menu only when Scheduled Report Switch is enabled
in the System Setup menu.
In the Scheduled Report tab, you can configure report contents for each bed.
To set scheduled printing of reports , follow this procedure:
1. In the Print Setup menu, select the Scheduled Report tab.
2. Select the desired report tab.
3. Configure the report options.
◆ For description of options in the Tabular Trends Report tab, see Section 9.5.3.1 Setting Tabular
Trends Reports in the End Case Report Tab.
◆ For description of options in the Graphic Trends Report tab, see Section 9.5.3.2 Setting Graphic
Trends Reports in the End Case Report Tab.
◆ In the Event Report tab, select the desired event type.
◆ For description of options in the 12-Lead Interpretation tab, see Section 9.5.2.2 Setting ECG Reports
in the Report Setup Tab.
◆ For description of options in the Realtime Report tab, see Section 9.5.2.1 Setting Realtime Reports in
the Report Setup Tab.

NOTE
• Up to 11 pages of event reports can be printed.

9.6 Printer Out of Paper


When the printer runs out of paper, the print request will not be acknowledged. If there are too many print jobs
that are not acknowledged a printer error may occur. In this case, install paper and then re-send the print
request. Restart the printer if necessary.
To avoid a printer error condition, ensure that there is enough paper in the printer before sending a print
request.

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9 - 10
10 Recording

10.1 Supported Recorders


The CMS can be equipped with to a thermal recorder. Supported recorders are TR6-B and TR6-F. 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 serial port.

(1)

(2)

(5)

(3) (6)

(4)

Figure 10-1 TR6-B Recorder

(1) Power indicator

■ On: when the recorder works correctly.


■ Off: when the recorder is powered off.
■ Flashes: if an error occurred to the recorder.

(2) Power input (3) Fuse

(4) Power switch (5) Equipotential Grounding Terminal

(6) RS232 serial port

10 - 1
(1) (4)

(2)
(5)

(3)

(6) (8)

(7) (9)

Figure 10-2 TR6-F Recorder

(1) hardkey

(2) Paper outlet (3) Recorder door

(4) Power indicator

■ On: when the recorder works correctly.


■ Off: when the recorder is powered off.
■ Flashes: if an error occurred to the recorder.

(5) Latch: pull it outwards to open the recorder door.

(6) Equipotential Grounding Terminal (7) Power switch

(8) RS232 serial port (9) Power input

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.

10.2.1 Loading Paper for the TR6-B Recorder


Figure 10-3 Figure 10-4

Figure 10-5 Figure 10-6

Figure 10-7 Figure 10-8

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.

3. Close the recorder door.


4. Check if paper is loaded correctly and the paper end is feeding from the top.

10.3 Setting the Recorder


To set the recorder, follow this procedure:
1. Select the Record Setup quick key at the bottom of the ViewBed screen to enter the Record Setup menu.
2. Select the desired waveform for Waveform 1, Waveform 2 and Waveform 3 in turn. The recorder can
record up to 3 waveforms at a time.
For more information on setting the recorder, see Section 12.10.8 Setting the Recorder and Section 12.10.9 Setting
Other Print-Related Items.

10 - 4
10.4 Starting Recordings
You can start a recording task manually or set the recorder to start a recording task automatically.

10.4.1 Manually Starting Recordings


You can manually start a recording task, such as the recording for realtime waveforms, event and waveform
reviews by selecting the button.

10.4.1.1 Recording Realtime Waveforms


To manually start recording realtime waveforms for a single monitoring device, follow this procedure:
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 desired quick key at the bottom of the ViewBed screen to start a recording task.
◆ Select the Record quick key.
◆ Select the Record Setup quick key → select Record.

10.4.1.2 Recording Event and Waveform Reviews


You can manually start the recording task on the full disclosure review screen and the events review screen. For
details, see Section 6.8.6 Recording Detailed Waveforms and Section 6.9.5 Recording Event Detail.

10.4.1.3 Recording All Realtime Reports


You can record realtime reports for all the online beds. Reports for beds in standby mode or beds where patients
have been discharged cannot be printed.
To record reports for all patients, follow this procedure.
1. Select the button in the upper right corner of the main screen.
2. Select Record All Realtime Reports. The Record All Realtime Reports dialog box is displayed.
3. Select OK.

10.4.2 Automatically Starting Recordings


You can set the recorder to start the recording task automatically.

10.4.2.1 Enabling Scheduled Recording


To enable scheduled recordings, follow this procedure:
1. Select the Record Setup quick key at the bottom of the ViewBed screen to enter the Record Setup menu.
2. Set Interval. The recorder can automatically starts the recording task at the configured interval.

10.4.2.2 Setting Recording on Alarm


When a parameter alarm switch is set to on and an alarm is triggered for this parameter, you can set the recorder
to start alarm recording automatically.
Print on Alarm is set to Printer by default. To enable automatic recording via the recorder when an alarm is
triggered, make sure that Print on Alarm is set to Recorder. For detail, refer to 12.10.9 Setting Other Print-Related
Items.

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.

10.5 Stopping Recordings


Recordings can be stopped manually or automatically.

10.5.1 Manually Stopping Recordings


To manually stop a recording, choose one of the following ways:
■ Select the button in the upper right corner of the main screen → select Clear All Record Tasks.
■ Access the Record Setup menu → select Clear All Tasks.
■ Access the System Setup menu → select the General setup page → select the Recorder tab → select
Reset RecordService.
■ Access the System Setup menu → select the Print setup page → select the Recorder tab → select Reset
RecordService.
■ Press the hardkey on the front panel of the TR6-F recorder.

10.5.2 Automatically Stopping Recordings


Recordings stop automatically when:
■ A recording is completed.
■ The recorder runs out of paper.
■ The recorder has an alarm condition.

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).

11.2 Network Settings and Bed Authorization for Remote View


To view patients at a remote CentralStation, you need to connect the local CentralStation/WorkStation/
ViewStation to the remote CentralStation. For details, see Section 12.9.6 Setting CentralStation Connection.
Besides, you also need to authorize the beds that can be viewed by the local CentralStation/WorkStation/
ViewStation. For details, see Section 12.9.7 Setting Bed Authorization.
In addition, you also need to grant permissions for the local CentralStation/WorkStation/ViewStation to access
the remote CentralStation. For details on how to grant permissions, see Section 12.9.6 Setting CentralStation
Connection.
■ Full Control: after a bed is authorized, you can view patient data, change measurement controls such as
alarm limits, admit, discharge, or transfer a patient at the local CentralStation/WorkStation.
■ Read Only: you can view the patient data, but you cannot change measurement controls, admit,
discharge, or transfer a patient.

11.3 Viewing Other Patients


You can view both real-time and historical patient data for patients monitored by a remote CentralStation in
either of the following ways:
■ Overview a bed in a patient sector on the CentralStation/WorkStation/ViewStation. For details, see Section
11.3.1 Assigning an Overview Bed to a Patient Sector.
■ View a bed temporarily through the bed list. For details, see Section 11.3.2 Viewing a Bed Temporarily
through the Bed List.
For details on how to view the real-time data, the historical data, and the calculation result of a remote
monitoring device, see Section 3.4.5 Sorting Patient Sectors, Chapter 6 Review, and Chapter 7 Calculation.

11.3.1 Assigning an Overview Bed to a Patient Sector


Patient sectors that do not currently have a bed or equipment assigned are available for overview. If the patient
sector already has an overview bed, you must clear the sector before assigning another bed to overview. For
how to clear an overview bed, see Section 11.4 Clearing an Overview Bed.
To assign a bed currently being monitored by a remote CentralStation to a patient sector, follow this procedure:
1. Access the device assignment screen of the current CentralStation/WorkStation/ViewStation 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 department where the desired remote CentralStation is located.

11 - 1
NOTE
• Do not select Local. Because Local means the local CentralStation/WorkStation/ViewStation.

4. Assign monitoring devices.


◆ To assign a monitoring device to a specific patient sector, select the patient sector on the left side of
this page.
◆ To assign monitoring devices to the next available patient sector, select the symbol on the right
side of the desired monitoring devices to admit these devices. The devices will be assigned to idle
patient sectors on the multibed screen in the order of left to right and from top to bottom.
After remote monitoring devices are assigned to the local CentralStation, the symbol is displayed in the
patient sectors of these devices, indicating that these devices are from a remote CentralStation.

11.3.2 Viewing a Bed Temporarily through the Bed List


To view other patients temporarily at the local CentralStation, follow this procedure:
1. Access the ViewBed screen of local CentralStation/WorkStation/ViewStation 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 symbol in the upper left corner of the screen.
3. Select the button.
4. From the drop-down list, select the department where the desired remote CentralStation is located. A bed
list is displayed under the CentralStation.

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.

11.4 Clearing an Overview Bed


When you do not need to observe an overview bed, you can manually clear it or you can set the system to
automatically clear it.
To manually clear an overview bed, follow this procedure:
1. Select the bed number and room number area in the upper left corner of the desired patient sector on
the multibed screen.
2. From the drop-down list, select Clear Overview Bed.

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

12.1 System Setup Overview


The CMS comes with factory defaults. You can make changes to the configuration items to accommodate the
needs of your unit. Changes made to the CentralStation, the WorkStation, and the ViewStation are independent
of each other.

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.

12.2 General Tab


In the General tab, you can adjust alarm volumes, view the help information, calibrate the touchscreen,and reset
the recorder service. This tab is available at the CentralStation, the WorkStation, and the ViewStation.

12.2.1 Accessing the General Setup Page


To access the general 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 General tab.

12.2.2 Adjusting Alarm Volumes


In the Volume tab, you can set the alarm volume, high alarm volume, and reminder volume. For details on how
to set the volumes, see Section 5.5.4 Setting Alarm Volume.

12.2.3 Viewing System Help Information


In the Help tab, you can view the system help information such as the system software version, system
configuration information, and system status by selecting the Help button.

12.2.4 Calibrating the Screen


To calibrate the touchscreen, follow this procedure:
1. On the general setup page, select the Cal Touchscreen tab.
2. Set the desired option.
◆ For Elo touchscreen, select Cal Touchscreen.
◆ For other types of touchcreens, select Tablet PC Settings and select the Calibrate button in the
popup window.
3. Touch and hold the symbol areas where indicated.

12 - 1
If the CMS system is configured for multiple touchscreens, perform the steps above for the rest of the
touchscreens.

12.2.5 Resetting the Recorder Service


In the Recorder tab, you can select Reset RecordService to stop all the current recordings and reset the
recording task.

12.3 Display Tab


In the Display tab, you can set display-related items such as parameter colors. This tab is available at the
CentralStation, the WorkStation, and the ViewStation.

12.3.1 Accessing the Display Setup Page


To access the display 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 Display tab → enter the required password → select the OK button.

12.3.2 Setting Parameter Colors


Parameter-related information such as realtime waveforms and parameter numerics are displayed in the same
color on the CMS screen.
To set the desired parameter colors, follow this procedure:
1. On the display setup page, select the Param Color tab.
2. Select the color box on the right side of the desired parameter.
3. From the drop-down list, select the desired color.

12.3.3 Screen Setup


You can set the screen for the following items:
■ Screen size
■ Display layout
■ The number of patient sectors and primary screens
■ The position for the Viewbed Screen
■ Whether to enable auto close the Viewbed screen and the desired closing time.

12.3.3.1 Setting Screen Size


To set the screen size, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Select Screen Size and then select the desired option. If your screen size is not available, select Others and
select the or button on the rulers to adjust the screen size.
3. Select OK.

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.

Figure 12-1 Cursor Moving Mode for 1 x 4

◆ 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.

Figure 12-2 Cursor Moving Mode for 2 x 2

12.3.3.3 Setting the Number of Patient Sectors


You can set the desired number of patient sectors on the multibed screen.
To do so, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Set Patient Sector Number. When you select customize, you need to select the desired number of
columns and rows.

12.3.3.4 Setting the Number of Primary Screens


The Primary Screen Number option is displayed only when more than one display is available. You can select
the desired number of displays where the multibed screen is shown.
To set the number of primary screens, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Set Primary Screen Number. Select the desired number of displays. For example, if you select 3, the
multibed screen will be shown on three displays.

12.3.3.5 Setting the Position of ViewBed Screen


The ViewBed Screen Position option is displayed only when more than one display is available. You can select
the desired display where the ViewBed screen is shown.
To set the position of ViewBed screen, follow this procedure:
1. On the display setup page, select the Screen tab.
2. Set ViewBed Screen Position. Select the desired display number. For example, if you select 2, then the
ViewBed screen will be shown on the second display.

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.

12.3.4 Setting Sectors


You can set items such as the sort type of sectors.
To set sectors, follow this procedure:
1. On the display setup page, select the Sector tab.
2. Set Sort Type.
◆ Manual: allows manual sorting of sectors according to sorting criteria. When this option is selected,
Sector Sorting is displayed in the drop-down list of system menu.
◆ Auto: sectors are automatically sorted according to sorting criteria.
3. Set sorting criteria: Sort By and Sort Orientation.
4. Enable or disable Support Switching Locked Sector.This option is disabled by default. When it is enabled,
the option Move Position to is displayed in the drop-down list after selecting the bed number and room
number area of locked sectors.
5. Enable or disable Clear Unlocked Overview Sector After Discharging The Patient. This option is
disabled by default. When it is enabled, if a patient is discharged, the overview bed will be automatically
cleared at the current CentralStation, the WorkStation, or the ViewStation.

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.

12.3.5 Setting Patient Window


You can select the desired items displayed on the review and calculation screens. To do so, follow this procedure:
1. On the display setup page, select the Patient Window tab.
2. Select the desired items.

12.3.6 Setting Other Display Items


You can set the waveform sequence for multi-lead ECG and whether to enable soft keyboard. To do so, follow
this procedure:
1. On the display setup page, select the Other tab.
2. Set ECG Lead Sequence. After changing the ECG lead sequence, the waveform sequence will be updated
in the ECG waveform area, ST parameter area, ST View on the ViewBed screen, ECG waveforms on review
pages, and printouts.
◆ Normal: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6
◆ Cabrera: aVL, I, -aVR, II, aVF, III, V1, V2, V3, V4, V5, V6
3. Enable or disable Soft Keyboard. When this option is enabled, a soft keyboard displays when a field that
requires manual input is selected.
4. Enable or disable Outline Font for Suspected Values. This option is enabled by default. When it is
enabled, if unreliable measurement values of HR, SpO2, or BIS are detected, these numerics will be
displayed in outline font on the multibed or ViewBed screen or suffixed with the icon on the review
pages.

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.

12.4.1 Accessing the Alarm Setup Page


To access the alarm 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 Alarm tab → enter the required password → select the OK button.

12.4.2 Configuring Alarm Audio Properties


To configure alarm audio properties, follow this procedure:
1. On the alarm setup page, select the Audio tab.
2. Set the desired options. Only items that may need special remarks are described here.
◆ Minimum Alarm Volume: ranges from 1 to10.
◆ Minimum Alarm Volume: ranges from 0 to10.
◆ Alarm Sound: three sound patterns (ISO, Mode 1, and Mode 2) are available. Only in ISO mode, High
Alarm Interval, Med Alarm Interval, and Low Alarm Interval are configurable.
◆ Auto Increase Volume: 2 Steps and 1 Step mean that if an alarm is not reset within the designated
delay time after the alarm occurs, the alarm volume automatically increases by two levels or by one
level. Off means that if an alarm is not reset within the designated delay time after the alarm occurs,
the alarm volume does not change.
◆ Increase Volume Delay: set the delay time of alarm volume escalation.
◆ Alarm Reset Reminder: when this option is enabled, If alarms are not acknowledged before the
system is silenced, the alarm reset reminder tone is issued at the designated reminder interval after
the system is silenced. After alarms in a patient sector are reset, if unacknowledged alarms still exist,
the alarm reset reminder tone is issued at the designated reminder interval.
◆ Alarm Off Reminder: when this option is enabled and alarms for a monitoring device are turned off, a
reminder tone is issued at the designated reminder interval.
◆ Reminder Interval: when Alarm Reset Reminder and/or Alarm Off Reminder is enabled, you can
set the reminder interval.
◆ Single Bed Alarm Audio Off: you can set whether to allow turning off alarm sound for a single bed
on the CMS. When it is set to Disable, you cannot turn off alarm sound. When it is set to Enable, the
Audio tab is displayed in the Alarm Setup menu. You can turn off alarm sound for one bed without
affecting alarm sound from other beds.
◆ Resume Alarm AudioWhen Admit Patient: if this option is disabled and a bed is in alarm audio off
state, this bed will remain in alarm audio off state when admitting a new patient.This option is
applicable for monitoring devices admitted via the Device Assignment tab in the System Setup
menu.
◆ Global Audio Off by Priority: you can select the priority of alarms whose sound will be turned off.
When Med &Low or Low is selected, if the current highest alarm priority is mediate or low, the CMS
does not issue alarm sound. Besides, the audio off symbol is displayed at the top of the CMS.
When Disable is selected, if an alarm is triggered, alarm sound will be enunciated.

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.

12.4.3 Setting Paging-Related Alarm Properties


When the CentralStation connects a third-party paging system, you can set paging-related properties.
To set paging properties, follow this procedure.
1. On the alarm setup page, select the Paging tab.
2. Set the desired options.
◆ Paging Delay: set the paging delay time.
◆ Paging Demographics: set the demographic data type sent to a pager.
◆ Paging Service: set whether to enable the paging service.
◆ Support Lead Off Technical Alarm: set whether to send the lead off technical alarm to a pager.
◆ Support Communication Message: set whether to send Offline and No RF Signal technical alarms
to a pager.
◆ Support Battery Message: set whether to send battery status related messages to a pager.
◆ Support Nurse Call: set whether to send nurse call triggered from a telemetry device to a pager.
◆ Paging Password Protection: select whether a password is required to access the Paging window. If
you select No Password, no password is required to access the Paging window. If you select Local
Password, you need to enter a password to access the Paging window. The default password is
paging.
You can select Modify Password to change the password to access the Paging window.

12.4.4 Configuring Other Alarm-Related Items


To configure other alarm-related items, follow this procedure:
1. On the alarm setup page, select the Other tab.
2. Set the desired options:
◆ Global Silence Hotkey: set the hotkey that can be used to silence the system.
◆ Global Silence: it is defaulted to Disable. When disabled, the global silence feature is not available.
When it is set to Enable, pressing the silence quick key or selecting the symbol silences the
system.
◆ Offline Alarm Priority: set the alarm priority when a monitoring device, the WorkStation, the
ViewStation, or eGateway is disconnected.
◆ Flashing Alarm Bar: when this option is enabled, the background color of high priority and medium
priority alarm messages on the mulitbed and ViewBed screen flashes.
◆ No offline alarm if patient discharged: when this option is enabled, after the patient is discharged
the offline alarm will not be triggered if the monitor is disconnected.
◆ eGateway Communication Lost: when this option is enabled and eGateway is disconnected from
the CentralStation, the eGateway Communication Lost alarm message will be displayed in the system
alarm area at the top of the screen.This function is available for the CentralStation only.

12.4.5 Exporting the Alarm Log


To export the alarm log, follow this procedure:
1. On the alarm setup page, select the Log tab.
2. Set Device Name. Select the source of alarm log.
3. Select Export and then set the location where the log file is saved.
4. Select OK.
You can use the Mindray Alarm Statistics Tool (PN: 110-005516-00) to analyze the alarm log and create a report.
To do so, follow this procedure:
1. Open the Mindray Alarm Statistics Tool.

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.

12.5 Patient Management Tab


In the Patient Management tab, you can set patient related items.

12.5.1 Accessing the Patient Management Page


To access the patient management 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 Patient Management tab → enter the required password → select the OK button.

12.5.2 Configuring Patient Fields


In the Field tab, you can set the patient fields that are displayed on the patient management screen. This tab is
available at the CentralStation, the WorkStation, and the ViewStation.
To configure patient fields, follow this procedure:
1. On the patient management setup page, select the Field tab.
2. Select the desired items.
3. If necessary, select the customized fields and input names for these fields.

12.5.3 Setting ADT Query


In the ADT Query tab, you can select the criteria for ADT query. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.
To set ADT query follow this procedure:
1. On the patient management setup page, select the ADT Query tab.
2. Select the desired criteria.

12.5.4 Setting Discharged Patients


In the Discharge tab, you can set whether to enable alarm prompts for auto deletion of patient data and for full
storage, and whether to clear all patient data. This tab is available at the CentralStation only.
To set this tab, follow this procedure:
1. On the patient management setup page, select the Discharge tab.
2. Enable or disable Prompt on patient auto deleted. When it is enabled and discharged patients are to be
deleted automatically, a prompt message will be displayed.
3. Set the alarm priority for Alarm on storage is nearly full.
4. Select Clear All Patient Data. Then from the dialog that pops up, confirm whether to clear all patient data.

12.5.5 Setting Patient Location


In the Location tab, you can set the patient location options displayed on the patient sector and ViewBed screen
after a monitoring device enters standby mode. This tab is available at the CentralStation Only.

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.

12.5.6 Setting Patient Group


In the Patient Group tab, you can set the name of patient groups displayed under the Patient Group field on
the patient management screen.This tab is available at the CentralStation Only.
To set the patient group, follow this procedure:
1. On the patient management setup page, select the Patient Group tab.
2. Select the patient group with desired background color.
3. Select the button and then enter the desired patient group name.

12.5.7 Setting Care Groups


In the Care Group tab, you can manually change care groups or set the system to automatically assign care
groups. This tab is available at the CentralStation and WorkStation.

12.5.7.1 Manually Setting Care Groups


To manually set a care group, follow this procedure:
1. On the patient management setup page, select the Care Group tab.
2. Set Care Group Setup Mode to Manual.
3. Select the care group with the desired background color.
4. Select the button and then enter the desired care group name.
Upon completion of settings, the care groups will be displayed under the Care Group field on the patient
management screen and you can select the desired care group for a bed.

12.5.7.2 Automatically Assigning Care Groups


You can assign care groups to the desired beds. When a patient is newly admitted by a bed, the care group for
this bed will be automatically assigned.
You can also add a shift time. When it is time for the shift, care groups will be automatically assigned to beds.
To automatically assign care groups,follow this procedure:
1. On the patient management setup page, select the Care Group tab.
2. Set Care Group Setup Mode to Auto.
3. Select the button in the upper right corner of the current page. The Add Shift window is displayed.
4. Configure items and then select OK.
5. Add a bed:
◆ If no beds are available, select the button in the middle of the current page and then add a bed.
◆ If beds are available, the button is not displayed. Access the bed list page to add a bed. For
information regarding the bed list page, see Section12.6.4 Setting the Bed List.
6. Select the button in the lower right corner of the current page. The Add Care Group window is
displayed.
7. Configure items and then select OK.
8. Select care groups at the bottom of the current page.
9. Select the beds where care groups are assigned to. The background color of the selected beds is consistent
with that of care groups.

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.

12.5.8 Setting Other Patient Information Items


In the Other tab, you can set other items related to patient information. This tab is available at the
CentralStation, the WorkStation, and the ViewStation.
To set the items, follow this procedure:
1. On the patient management setup page, select the Other tab.
2. Set Display Information in Patient Sector.
◆ Patient Name: displays the patient name in the patient sector on the multibed screen.
◆ Patient ID: displays the patient ID in the patient sector on the multibed screen.
◆ Visit Number: displays the patient’s visit number in the patient sector on the multibed screen.
◆ None: displays nothing in the patient sector on the multibed screen.
3. Set the desired Patient Name Display Hotkey.
4. Enable or disable Reset Care Group in the Locked Sector When Admitting a New Patient. When it is
enabled, if Care Group Setup Mode is set to Manual and a patient is admitted by a locked patient sector,
you can manually select a care group for this bed.

12.6 Device Management Tab


In the Device Management tab of the CentralStation, you can admit monitoring devices and add or delete a
bed.
In the Device Management tab of the WorkStation and the ViewStation, you can assign monitoring devices
from the host CentralStation.You can also add or delete a bed at the WorkStation.

12.6.1 Accessing the Device Management Screen


To access the device management screen, 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 Device Management tab → enter the required password → select the OK button.

12.6.2 Device Management Tab at the CentralStation

12.6.2.1 Admitting Monitoring Devices


The CentralStation can be set to automatically admit monitoring devices. Or, monitoring devices can be
manually admitted.

NOTE
• Within the LAN, a monitoring device can be admitted to any CentralStation, but can be admitted by
one CentralStation only.

12.6.2.2 Automatically Admitting Monitoring Devices


To automatically admit monitoring devices, 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 Device Management tab → enter the required password → select the OK button to access the
device management screen.
3. Select the Auto Admit Device tab to access the device admission page.
4. Set the desired condition for auto admission.

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.

12.6.2.3 Manually Admitting Monitoring Devices on the Device Assignment Screen


To manually admit monitoring devices on the device assignment screen, 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 Device Management tab → enter the required password → select the OK button.
3. Select the Device Assignment tab to access the device assignment screen.
4. Select the button in the upper right corner of the screen.
5. 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.

6. Admit monitoring devices.


◆ To assign a monitoring device to a specific patient sector, select the patient sector on the left side of
this page. If a monitoring device has been assigned to this patient sector, disconnect this monitoring
device from the CentralStation by selecting the button. Then select the symbol on the right
side of the desired monitoring device to admit this device.
◆ To assign monitoring devices to the next available patient sector, select the symbol on the right
side of the desired monitoring devices to admit these devices. The devices will be assigned to idle
patient sectors on the multibed screen in the order of left to right and from top to bottom.

12.6.3 Device Management Tab at the WorkStation/ViewStation

12.6.3.1 Automatically Assigning Monitoring Devices from the Host CentralStation


To automatically assign monitoring devices from the host CentralStation, follow this procedure:
1. Select the WorkStation/ViewStation’s system menu area in the upper left corner of the screen
→ select System Setup to access the System Setup menu.
2. Select the Device Management tab → enter the required password → select the OK button to access the
device management screen.
3. Select the Auto Admit Bed tab.
4. Select the Detail button at the end of the desired CentralStation.
5. Set the desired conditions for auto assignment.
◆ If you need to assign all the monitoring devices from the host CentralStation, select Auto admit all
beds in this CentralStation.
◆ If you need to assign some monitoring devices from the host CentralStation, do not select Auto
admit all beds in this CentralStation. Instead, enter the desired numbers under Room No and Bed
No, and then select the Add button on the right of List of Beds Admitted Automatically.
Once the eligible devices are detected, they will be automatically assigned to idle patient sectors on the
multibed screen of the WorkStation or the ViewStation in the order of left to right and from top to bottom.

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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.

12.6.3.2 Assigning Monitoring Devices on the Device Assignment Screen


To manually assign monitoring devices from the host CentralStation, follow this procedure:
1. Select the WorkStation/ViewStation’s system menu area in the upper left corner of the screen
→ select System Setup to access the System Setup menu.
2. Select the Device Management tab → enter the required password → select the OK button to access the
device management screen.
3. Select the Device Assignment tab to access the device assignment screen. The device assignment screen
of the WorkStation or the ViewStation is similar to that of the CentralStation. For details about the device
assignment page, see Section 4.2.2 Manually Admitting Monitoring Devices.
4. Select the button in the upper right corner of the screen.
5. From the drop-down list, select the desired CentralStation.
6. Assign monitoring devices.
◆ To assign a monitoring device to a specific patient sector, select the patient sector on the left side of
this page. If a monitoring device has been assigned to this patient sector, disconnect this monitoring
device from the WorkStation or the ViewStation by selecting the button. Then select the
symbol on the right side of the desired monitoring device.
◆ To assign monitoring devices to the next available patient sector, select the symbol on the right
side of the desired monitoring devices. The devices will be assigned to idle patient sectors on the
multibed screen in the order of left to right and from top to bottom.
Using this method, a monitoring device is bound with a patient sector on the multibed screen. After discharging
a patient, the patient’s bed number is still displayed in the patient sector. When the monitoring device is online
again, the patient data from this monitoring device will be displayed in the same patient sector. This method is
appropriate for devices that need to be monitored frequently.

12.6.4 Setting the Bed List


In the Bed list tab, you can add or delete a bed. The beds added or deleted will be displayed in or disappear from
the bed list on the care group page. For information on the care group page, see Section 12.5.7 Setting Care
Groups.This tab is available at the CentralStation and the WorkStation only.

12.6.4.1 Adding a Bed


You can add a bed one by one or mass add beds.

Adding a Bed One by One


To add a bed, follow this procedure:
1. On the device management screen, select the Bed List tab.
2. On the right of Bed No, enter the desired bed number.
3. Select Add on the right of Bed No.

Mass Adding Beds


To mass add beds, follow this procedure:
1. On the device management screen, select the Bed List tab.
2. On the right side of Mass Add, enter the prefix, initial number, and suffix of bed numbers. Initial Number
and Number of Beds are required.
3. Under Number of Beds, enter the desired number of beds that can be displayed in the bed list. The
maximum number of beds is 128.
4. Select Add.

12.6.4.2 Deleting a Bed


To delete a bed, follow this procedure:

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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.

12.7 Review Tab


In the Review tab, you can set trends related items.

12.7.1 Accessing the Review Setup Page


To access the review 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 Review tab → enter the required password → select the OK button.

12.7.2 Setting Trend Groups


In the Trends tab, you can set a trend group. A trend group defines the trend displayed on the trend review page
and printed in trend reports and recordings. The Trends tab is available at the CentralStation, the WorkStation,
and the ViewStation.
You can perform the following operations:
■ Add/Delete parameters
■ Overlap/Unoverlap parameters
■ Move parameters
■ Rename trend groups

NOTE
• In the Group Setup menu, HR is always displayed in the first row. It cannot be deleted or moved.

12.7.2.1 Setting Trend Parameters


To add, delete, overlap, unoverlap, or move a parameter, follow this procedure:
1. On the review setup page, select the Trends tab.
2. Select the Group Setup button to enter the Group Setup screen.
3. Select the desired tab and then the desired parameter.
4. Select the desired buttons. Only buttons that may need special remarks are described here.
◆ Overlap: selecting two parameters in the right column and then selecting the Overlap button
overlaps these parameters. When parameters are overlapped, the symbol displays on the right
side of overlapped parameters. The numeric values and trend curves of two parameters are displayed
in one row on the screen.
◆ Unoverlap: after two parameters are overlapped, selecting the Unoverlap button cancels the
overlapping relation.

12.7.2.2 Renaming a Trend Group


To rename a trend group, follow this procedure:
1. On the review setup page, select the Trends tab.
2. Select the Group Setup button to enter the Group Setup screen.
3. Select the desired trend group tab.
4. Select the symbol in the upper left corner of the screen.

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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.

12.7.3 Setting Full Disclosure


In the Full Disclosure tab, you can set the waveform saving accuracy. This tab is available at the CentralStation
only. If the hard-disk partition is less than 450 G, full disclosure waveforms are saved in low resolution by default.
If the hard-disk partition is greater than or equal to 450 G, full disclosure waveforms are saved in medium
resolution by default.
To change the waveform saving accuracy, follow this procedure:
1. On the review setup page, select the Full Disclosure tab.
2. Select the desired resolution for Save Waveform.

12.7.4 Setting Events


In the Event tab, you can set the conditions for locking and renaming events. This tab is available at the
CentralStation and WorkStation. But you can only enable or disable Rename Event at the WorkStation.
To set events, follow this procedure:
1. On the review setup page, select the Event tab.
2. In the Lock column, select the alarm priority of the events that need to be locked. When alarms of the
selected priority are triggered, corresponding events will be locked in the event review page automatically.
3. Enable or disable Rename Event. When this option is enabled, you can rename events in the event review
page.

12.7.5 Setting Arrhythmia Mark Colors


In the Arrhy Mark tab, you can set colors for arrhythmia marks that display in the compressed waveform. This
tab is available at the CentralStation, the WorkStation, and the ViewStation.
To do so, follow this procedure:
1. On the review setup page, select the Arrhy Mark tab.
2. Select the desired arrhythmia category.
3. Select the color box on the right side of the arrhythmia category.
4. From the drop-down list, select the desired color.

12.7.6 Setting Patient Data Export


In the Export tab, you can set to allow exporting patients’ trend data and waveform data. This tab is available at
the CentralStation, the WorkStation, and the ViewStation.
To do so, follow this procedure:
1. On the review setup page, select the Export tab.
2. Enable Save As.
Once Save As is enabled, the export symbol is displayed in the system alarm area at the top of the screen.
Selecting this symbol opens the Export Setup menu. In this menu, you can view the export progress, export
task, and so on. For more information on this menu, see Section 3.4.1 Example Multibed Screen.
The export symbol is also displayed on the tabular trends review page, graphic trends review page, and full
disclosure review page. For more information on exporting patients’trend data or waveform data from these
review pages, see Sections 6.6.4 Exporting Trend Data, 6.7.4 Exporting Trend Data, and 6.9 Events Review Page.

12.8 Telemetry Tab


In the Telemetry tab, you can set items for telemetry devices. This tab is available at the CentralStation only.

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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.

12.8.2 Setting Alarm Properties for Telemetry Devices


To set the alarm properties for telemetry devices, follow this procedure:
1. On the telemetry setup page, select the Alarm tab.
2. Set Alarm Delay. If an alarm condition is resolved within the delay time, the CentralStation does not
present the alarm. The alarm delay setting affects some physiological alarms.
3. Set ST Alarm Delay.
4. Set the alarm priority for ECG Lead Off, SpO2 Sensor Off, and No RF Signal.
5. Set Alarm Reset and Alarm Pause.
6. Enable or disable Lethal Arrhy Alarms Off.
◆ Enable: all the lethal arrhythmia alarms are configurable. The All Off button in the Arrhythmia menu
is active.
◆ Disable: all the lethal arrhythmia alarms are disabled and not configurable. The All Off button in the
Arrhythmia menu is inactive.
7. Select the desired alarm priorities under Latching on the right side of the screen to latch physiological
alarms. You can separately latch visual indications or simultaneously latch the visual and audible
indications.
◆ Lethal, High, Med, and Low: indicate alarm priorities.
◆ Visible: latches visual indications only. When an alarm condition is resolved, visual indications,
including alarm message and its background color remain. The time when the alarm is last triggered
is displayed behind the alarm message.
◆ Audible: when this option is selected, Visible will be selected automatically. All the visual and audible
alarm indications remain until you reset the alarms. Besides, the time when the alarm is last triggered
is displayed behind the alarm message.
◆ Enable or disable V-Tach Latching Lock. This option is enabled by default. When it is disabled, you
can set V-Tach Latching in the Setup tab of a telemetry device’s Alarm Setup menu on the ViewBed
screen. If you wish to change V-Tach Latching Lock, select Visible or Audible for Lethal in the
Latching section first.

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.

12.8.3 Setting ECG Related Items for Telemetry Devices


To set the notch filter, QTc formula, and analysis lead, follow this procedure:
1. On the telemetry setup page, select the ECG tab.
2. Set Notch Frequency to 50 Hz or 60 Hz according to the power line frequency. The default is 60Hz.
3. Enable or disable Analysis Lead. After this option is enabled, when ECG monitoring with lead sets other
than 3-lead is being performed, the Analysis Lead option is displayed in the ECG menu. You can select the
desired lead as the analysis lead. Then, the CentralStation uses the analysis lead to detect beats, compute
heart rate and arrhythmia alarms and so on.

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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.

12.8.5 Frequency Setup


In the Frequency Setup tab, you can program the TMS-6016 and the TMS60 telemetry transmitters.
To program the TMS-6016 and the TMS60 telemetry transmitters, follow this procedure:
1. Connect one end of the dedicated programming cable to the serial port 1 (COM1) () on the CMS, and the
other end to the SpO2 connector on the transmitter.
2. Select the Frequency Setup button. The window of Telemetry Configuration Tool displays.

In this window, you can:


◆ Select Scan The Frequency Information to check the information of all the receivers connected to
the CMS.
◆ Select IP Address of the receiver you want to check, such as 192.76.5.1.35 to check the channel
information corresponding to the selected receiver. If there are any frequency conflicts, the number of
these frequency points will be shown. If not, the prompt “There are no frequency conflicts in the
network” is displayed at the bottom of the window.
3. Select a channel and then select the Program button. When the dialog box prompting “Please ensure this
channel is not used to monitor patients” displays, select the OK button.
4. In the Frequency field, select the desired frequency such as 608.7MHz.

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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.

12.8.6 Programming Telepack-608 Telepacks


In the Program tab, you can program a Telepack-608 telepack to the CMS.
To program the Telepack-608 telepack, follow this procedure:
1. Connect one end of the dedicated programming cable to the serial port 1 (COM1) on the CMS, and the
other end to the connector on the elepack.
2. Free a channel in either of the following ways,
◆ Select the Free Connected Channel button to free the channel of the connected telepacks.

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◆ 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.

12.8.7 WMTS Device


In th WMTS Device tab, you can view the status of packets sent from the TMS-6016 Telemetry Monitoring
System, the TMS60 Telemetry Monitoring System, or the Telepack-608 to the CentralStation. Operations in this
tab should be performed by authorized service personnel.

12.9 Network Tab


In the Network tab, you can set communication conditions between a CMS and other central monitoring
systems, between a CMS and monitoring devices, between a CMS and eGateway, between CMS and the MLDAP
server.

12.9.1 Accessing the Network Setup Page


To access the network 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 Network tab → enter the required password → select the OK button.

12.9.2 Setting General Communication Conditions


In the General tab, you can set central monitoring network, bedside monitoring network, remote view,
multicast parameters, and encryption connection type. This tab is available at the CentralStation, the
WorkStation, and the ViewStation. But you can only set the central monitoring network and the encryption
connection type at the WorkStation and ViewStation.
To configure the settings, follow this procedure:
1. On the network setup page, select the General tab.
2. In the Central Monitoring Network Setup section, set Local IP address. From the drop-down list, select
current CMS IP address. This IP address is used for communication between the CentralStation and external
systems such as Gateway, WorkStation, ViewStation, and remote CentralStations.
3. In the Bedside Monitoring Network Setup section, set Local IP address. From the drop-down list, select
the IP address of the CentralStation network adapter which is used for internal communication between
the CentralStation and monitoring devices.
4. In the Remote View section, set the desired options:

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◆ 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.

12.9.3 Setting the Master Server


In the Master Server tab. you can set the master server address and log on to the master server. This tab is
available at the CentralStation, the WorkStation, and the ViewStation.
To set the master server, follow this procedure:
1. On the network setup page, select the Master Server tab.
2. Set the options.
◆ Master Server Address: enter the IP address or name of the master server. There can only be one
master in the network.
◆ Master Server IP Address: it is automatically acquired after Master Server Address is entered.
Upon completion of connection, the status of connection between the CentralStation and the master
server is displayed on the right side of Connection Status.
3. Select Setup. The Master Server Setup dialog box is displayed.
4. Enter User Name and Password.
5. Select Login to log onto the master server setup screen.
On the master server setup screen, you can search monitoring devices, manage configurations collectively, etc.
For information on the master server setup screen, see BeneVision Central Monitoring System Service Manual (PN:
046-010294-00).
On the master server setup screen, you can search monitoring devices, manage configurations collectively, etc.
For information on the master server setup screen, see BeneVision Central Monitoring System Service Manual (PN:
046-010876-00).

12.9.4 Configuring eGateway


In the eGateway tab, you can configure the settings when the CentralStation communicates with an eGateway.
When you license supports installing eGateway via the CentraStation, you can install and log onto the eGateway
via the CentraStation.

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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.

12.9.4.2 Setting ADT Query


When a CMS is connected with the HIS, you can use the admit-discharge-transfer (ADT) server to obtain patient
information from the HIS and export the patient formation to the CMS. The ADT query function is also available
at the WorkStation and the ViewStation, and it functions in the same manner as it does at the host
CentralStation.
To set ADT query, follow this procedure:
1. On the network setup page, select the eGateway tab.
2. In the ADT Query Setup section, enable ADT Query.
3. In the Server Address text box, enter the IP address or name of the ADT server. IP Address is automatically
acquired from Server Address.
4. Set Port. The port should be consistent with that for the eGateway.
After setting ADT query, the ADT tab is displayed in the Find Patient Window.

12.9.4.3 Testing ADT Server Connection


To test whether the CMS is properly connected with the ADT server, follow this procedure:
1. On the network setup page, select the eGateway tab.
2. In the ADT Query Setup section, select Network Test.

12.9.4.4 Setting Data Export


The functions of exporting waveform data and 12-lead ECG data are available at the CentralStation only. The
function of exporting PDF report is available at the CentralStation, the WorkStation, and the ViewStation.To set
data export, follow this procedure:
1. On the network setup page, select the eGateway tab.
2. In the Data Export Setup section, enable or disable Export Waveform Data.
◆ Enabled: the Export to EMR button is displayed on the detail waveform review window and event
review page. You can export waveform segments and events to third party systems.
◆ Disabled: you cannot export waveform segments or events to third party systems.
3. Enable or disable Export 12-lead ECG Data.
◆ Enabled: the CentralStation can receive the 12-lead ECG analysis result from the bedside
automatically generate a 12-lead ECG report, and then send the report to third party systems.
◆ Disabled: 12-lead ECG report will not be generated.

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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.

12.9.5 Setting CentralStation Authorization


In the Central Station Authorization tab, you can set access types of the remote CentralStation, WorkStation,
the ViewStation, and the CMS Viewer to control current CentralStation. This tab is available at the CentralStation
only.
To set CentralStation authorization, follow this procedure:
1. On the network setup page, select the Central Station Authorization tab.
2. Set Access Control.
◆ Full Control: the WorkStation has full control over this CentralStation.
◆ Read Only: the WorkStation, the ViewStation, and the CMS Viewer can view this CentralStation only.
◆ Off: the remote CentralStation, WorkStation, the ViewStation, and the CMS Viewer cannot access this
CentralStation.
◆ User Password: a user name and password are required to visit this CentralStation.
3. Decide whether to enable password protection for access to the CentralStation. If you need to enable
password protection, select A password is required to access this Central Station. You can enter the
desired password. If you need to change the password, enter and then confirm the new password in the
Reset Password section and then select Save.

NOTE
• It is recommended that the password be changed by authorized personnel.

12.9.6 Setting CentralStation Connection


In the Central Station Connection tab, you can connect your current station (the CentralStation, the
WorkStation, or the ViewStation) to the desired CentralStation. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.
To connect the desired CentralStation, follow this procedure:
1. On the network setup page, select the Central Station Connection tab.
2. Select the desired CentralStation from the list of CentralStations.
3. Select the Connect button. If password protection is enabled for the chosen CentralStation, you need to
enter a password.
4. If you need to disconnect from a CentralStation, select the desired station, and select the Disconnect
button.

12.9.7 Setting Bed Authorization


In the Bed Authorization tab, you can set whether to allow beds at current CentralStation to be viewed by
external systems, such as the WorkStation. This tab is available at the CentralStation only.
To set bed authorization, follow this procedure:
1. On the network setup page, select the Bed Authorization tab.
2. Select the desired beds.
3. If you need to allow the beds that are newly admitted by the CentralStation to be viewed by default, select
Default authorization to be enabled for all beds.

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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.

12.9.8.1 Importing AP Information


In the AP List section, you can import a text file containing AP information. The text file must be in this format:
AP Name, Mac address, Location, Detail. AP Name, Mac address, Location, and Detail are customizable.
To import AP information, follow this procedure:
1. On the network setup page, select the AP Management tab.
2. Select Import AP Information.
3. Select the desired file.
4. Select OK.

12.9.8.2 Configuring Device Movement Area


You can set whether to trigger an alarm when a TM80 telemetry monitor enters or moves out of specified area in
the selected department.
To do so, follow this procedure:
1. On the network setup page, select the AP Management tab.
2. Set Setup Mode.
3. Set Department. For the ECG Pod, only the General department can be selected.
4. If you wish to specify a location, enter the desired location in the Please input location information box. If
you wish to select all the locations, select Select All.
5. Enable or disable Trigger an alarm when devices enter the restricted area or Trigger an alarm when
devices move out of the allowed area. This option is dependent on Setup Mode.
6. Set Alarm Priority.

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.

12.9.9.1 Setting MLDAP


To access the MLDAP server, follow this procedure:
1. On the network setup page, select the MLDAP tab.
2. In the Server Address text box, enter the IP address or name of the MLDAP server. IP Address is
automatically acquired from Server Address.
3. Set the port of the MLDAP server.

12.9.9.2 Testing MLDAP Server Connection


To test whether the CMS is properly connected with the MLDAP server, follow this procedure:
1. On the network setup page, select the MLDAP tab.
2. Select Network Test.

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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.

12.9.10.1 Installing Mobile Server


To install Mobile Server, follow this procedure:
1. On the network setup page, select the MobileServer tab.
2. Select Install Mobile Server.
3. Select the installation language and then select OK.
4. Proceed according to instructions in the installation wizard. For information on detailed installation
procedures, see BeneVision Mobile Server Installation Guide (PN: 046-011421-00).

12.9.10.2 Setting Mobile Server


To set Mobile Server, follow this procedure:
1. On the network setup page, select the MobileServer tab.
2. Select Mobile Server Setup.
3. Set the desired items.For information on detailed configuration items, see BeneVision Mobile Server
Installation Guide (PN:046-011421-00).

12.10 Print Tab


In the Print tab, you can set items related to a printer or reports. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.

12.10.1 Accessing the Print Setup Page


To access the print 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 Print tab → enter the required password → select the OK button.

12.10.2 Setting a Printer


In the Printer tab, you can set printer-related items.
To set a printer, follow this procedure:
1. On the print setup page, select the Printer tab.
2. Set Printer.
3. Select the desired report type.
4. Set Print Action.
◆ Paper: outputs paper report. After selecting this option, you need to set Printer and Printer
Resolution.
◆ PDF: outputs the electronic report in PDF format. After selecting this option, you need to set PDF
Resolution.
◆ Paper and PDF: outputs both the paper report and the PDF report. After selecting this option, you
need to set Printer, Printer Resolution, and PDF Resolution.

NOTE
• PDF reports can be output by PDFCreator only.

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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.

12.10.4 Setting End Case Reports


In the End Case Report tab, you can select the desired report type. When you discharge a patient, if you select
Print End Case Report, the selected end case report for this patient will be printed automatically. Contents in
the end case reports can be customized for each bed in the Print Setup menu. For more information on the
Print Setup menu, see Section 9.5.3 Setting End Case Reports.
To set end case reports, follow this procedure:
1. On the print setup page, select the End Case Report tab.
2. Set Period. This option is applicable for tabular trends report, graphic trends report, event report, 12-lead
interpretation report, and arrhythmia statistics report.
3. Select the desired report types.

12.10.5 Setting Report Layout


In the Report Layout tab, you can set the patient information displayed on the reports other than ECG reports.
For details on how to set ECG reports, see Section 12.10.6 Setting ECG Reports.
To set the report layout, follow this procedure:
1. On the print setup page, select the Report Layout tab.
2. Select the desired items under Report Name. N/A indicates that this item is not displayed on a report.

12.10.6 Setting ECG Reports


In the ECG Report tab, you can set the patient information displayed on ECG reports.
To set ECG reports, follow this procedure:
1. On the print setup page, select the ECG Report tab.
2. Select the desired items.

12.10.7 Setting PDF File Name


In the PDF File Name tab, you can set items such as the naming rule for PDF reports.
To set PDF file name, follow this procedure:

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.

12.10.8 Setting the Recorder


In the Recorder tab, you can change the recording related settings.
To set the recorder, follow this procedure:
1. On the print setup page, select the Recorder tab.
2. Enable or disable Recorder Switch. When it is enabled, you can output reports via a recorder.
3. Set Recorder COM Port and then select the desired port for the recorder.
4. If you wish to stops all the current recordings and resets the recording task, select Reset RecordService.

12.10.9 Setting Other Print-Related Items


In the Other tab, you can make the printing and recording settings on alarm.
To set other print-related items, follow this procedure:
1. On the print setup page, select the Other tab.
2. Set the desired option.
◆ Print on Alarm: select the output device when an alarm is triggered. When an alarm is triggered for a
parameter and Alarm Outputs is enabled, the CMS can start a printing or recording task
automatically.
◆ Printing Duration on Alarm: sets the desired length of waveforms that will be printed or recorded
automatically when Alarm Outputs for a parameter is enabled and an alarm is triggered. 10 sec, 20
sec, and 30 sec means printing the waveforms 5 seconds, 10 seconds, and 15 seconds before and after
the alarm triggered time respectively.
◆ Monitor Remote Print: if you enable this option, the CMS automatically starts a printing task after
the printing task is started at the patient monitor.
◆ Second Mark (Printer): if you enable this option, second marks will be displayed on the report
printout.
◆ Recording Duration: sets the recording duration of the recorder.
◆ Recorder Paper Speed: sets the paper speed of the recorder.

12.11 Configuration Tab


In the Configuration tab, you can set configuration items for telemetry devices and bedside monitors.

12.11.1 Accessing the Configuration Setup Page


To access the configuration 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 Configuration tab → enter the required password → select the OK button.

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.

12.11.3 Setting Department Configurations


In the Department Configuration tab, you can use the display, print, and history settings of the selected bed as
configuration items. These configuration items can be loaded for bedside monitors automatically when the
monitors are newly admitted by the CentralStation. This tab is available at the CentralStation, the WorkStation,
and the ViewStation.
To set department configurations, follow this procedure:
1. On the configuration setup page, select the Department Configuration tab.
2. Select the desired bed for Select Bed.
3. Select the Save Department Configuration button. The Save Department Configuration dialog box is
displayed.
4. Select whether to save the configuration as the department’s default configuration.
5. If you need to load the department configurations for all beds, select Load Department Configuration for
All Beds.

12.11.4 Setting the Department List


In the Department List tab, you can add or delete a department. This tab is available at the CentralStation Only.

12.11.4.1 Adding a Department


To add a department, follow this procedure:
1. On the configuration setup page, select the Department List tab.
2. In the Department text box, enter the desired department name.
3. Select Add.

12.11.4.2 Deleting a Department


To delete a department, follow this procedure:
1. On the configuration setup page, select the Department List tab.
2. From the department list, select on the right of the department to be deleted.
3. In the Department List dialog box, decide whether to delete the department. If yes, select OK.The default
department cannot be deleted.

12.11.5 Setting Assignment between Telemetry Devices and Departments


In the Assign Telemetry tab, you can assign telemetry devices to departments and delete telemetery devices
assigned. This tab is available at the CentralStation Only.
You have two ways to assign telemetry devices to departments:
■ Select a telemetry device and department from the device list.

12 - 25
■ Enter a telemetry device’s name

12.11.5.1 Assigning Telemetry Devices to Departments from Department List


To assign telemetry devices to departments, follow this procedure:
1. On the configuration setup page, select the Assign Telemetry tab.
2. Select Add From Device List.
3. From the device list, select the desired department and device.
4. Select OK.

12.11.5.2 Assigning Telemetry Devices to Departments by Entering Telemetry Device’s Name


To assign telemetry devices to departments, follow this procedure:
1. On the configuration setup page, select the Assign Telemetry tab.
2. Select Department.
3. In the Device Name text box, enter the desired telemetry device.
4. Select Add.

12.11.6 Printing, Backing Up, and Restoring All Settings


In the Installation tab, you can print, backup, and restore settings. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.
To print, back up, and restore all settings, follow this procedure:
1. On the configuration setup page, select the Installation tab.
2. Select the desired item.
◆ Print All Settings: prints all settings such as telemetry configurations and department
configurations.
◆ Back Up All Settings: after selecting this option, you need to select the directory where settings are
saved and then select OK.
◆ Restore All Settings: after selecting this option, you need to select the directory where back-up
settings are located and then select OK.

12.12 Other Tab


In the Other tab, you can set items such as unit of measurement. This tab is available at the CentralStation, the
WorkStation, and the ViewStation.

12.12.1 Accessing the Other Setup Page


To access the other 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 Other tab → enter the required password → select the OK button.

12.12.2 Setting Units


To set units, follow this procedure:
1. On the other setup page, select the Unit tab.
2. Set the desired units.

12.12.3 Setting Units for Integrated Devices


When a bedside monitor is integrated with an external device such as a ventilator via the BeneLink module, you
can set the units for integrated devices at the CentralStation.

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.

12.12.4 Configuring Module


In the Module tab, you can set barometric pressure, ECG standard, and QTc formula at the CentralStation. You
can set the ECG standard and QTc formula at the WorkStation and ViewStation.
To set the ECG standard, follow this procedure:
1. On the other setup page, select the Module tab.
2. Set Barometric Pressure
3. Set QTc Formula. The CentralStation uses the Hodges correction formula by default to correct the QT
interval for heart rate.
◆ Hodges: QTc = QT + 1.75 × ( HearRate – 60 )
1---
HearRate 2
◆ Bazett: QTc = QT ×  --------------------------
 60 
1
---
HeartRate 3
◆ Fridericia: QTc = QT ×  -----------------------------
 60 

◆ 60
Framingham: QTc = QT + 154 ×  1 – -----------------------------
 HeartRate
4. Set ECG Standard.

12.12.5 Setting Time

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.

To change time manually or automatically at the CMS, follow this procedure:


1. On the other setup page, select the Time tab.
2. Set Time Synchronization.
◆ Master Server: synchronizes time with the master server.
◆ NTP Server: synchronizes time with the NTP server. After selecting this option, you need to set Time
Server Address. Time Server is automatically acquired after Time Server Address is entered.
Connection Status displays the status of connection between the CMS and the NTP server.
◆ Manual: sets the time manually. You need to set Date, Time, Date Format, and 24-Hour Time in the
Set System Time section. When 24-Hour Time is enabled, the 24-hour clock system is used. When
24-Hour Time is disabled, the 12-hour clock system is used.

12 - 27
12.12.6 Setting Authorization Setup

12.12.6.1 Setting the Password Timeout Period


If you use the password saved in the MLDAP server to access the System Setup menu, alarm settings and
arrhythmia settings, you can set the password timeout period. If the timeout period is reached, you need to re-
enter the password. To do so, follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. Set Retention Time.

12.12.6.2 Selecting Password for User Authentication


You can select what password is used when accessing the System Setup menu. To do so, follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. Set User Maintenance.
◆ Local Password: the password to access the System Setup menu at the CMS is required.
◆ User Password: the user name and password saved in the MLDAP server are required.

12.12.6.3 Changing the Local Password for Accessing System Setup


To change the password required to access the system setup tabs other than the Factory Maintenance tab,
follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. Select Modify Local Password and respectively enter the old password and new password.
3. Select the Save button.

NOTE
• It is recommended that the password be set by authorized personnel.

12.12.6.4 Setting the Permission to Delete Discharged Patient Information


You can set the permission to delete discharged patient information via the CentralStation or the WorkStation.
To set the permission, follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. Select Delete Discharged Patients.
3. Select the desired option:
◆ Read Only: you can view discharged patient information. The Delete button on the discharged
patients management screen becomes inactive.
◆ No Password: you can delete discharged patient information without entering a password.
◆ Local Password: you need to enter the correct local password before deleting discharged patient
information. If you wish to change the local password,select Modify Local Password.

12.12.6.5 Setting Alarm Permissions


You can set whether to allow the CentralStation/WorkStation to remotely change alarm settings and arrhythmia
settings, pause alarms, pause alarm audio, and reset alarms of telemetry devices or bedside monitors.
To set alarm permissions, follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. In the Alarm section, select the desired item.
3. Select the desired permission:
◆ No Password: at the CentralStation/WorkStation, you can remotely control monitors or telemetry
devices without entering a password.

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.

12.12.6.6 Setting Other Permissions


In the Authorization Setup tab, you can set the permissions to control telemetry devices or bedside monitors to
perform certain operations at the CentralStation or the WorkStation.
You can control telemetry devices or bedside monitors to perform relevant operations remotely via the
CentralStation or the WorkStation under the following conditions:
■ Permissions for these operations have been set to Enable or Password Protection in the Authorization
Setup tab.
■ These remote control functionalities are supported by the telemetry devices or bedside monitors.
To set remote control, follow this procedure:
1. On the other setup page, select the Authorization Setup tab.
2. Set the desired options:
◆ Read Only: on the CMS, you can only view information from the monitors or telemetry devices. When
Transfer Patient is set to Read Only, the Transfer Patient button on the patient management screen
is grayed out. You cannot transfer patient data.
◆ No Password: on the CMS, you can control monitors or telemetry devices remotely. No password is
required. When Transfer Patient is set to No Password, the Transfer Patient button on the patient
management screen is active. You can transfer patient data.
◆ Enable One Bed: puts one patient monitor into or out of night mode or privacy mode.
◆ Enable All Bed: puts one patient monitor or all patient monitors into or out of night mode or privacy
mode.

12.12.7 Setting Language


In the Language tab, you can select the desired language. When the CMS starts, it is displayed in the language
selected at the time of installation.
To change a language, follow this procedure:
1. On the other setup page, select the Language tab.
2. Select the desired language. It is recommended to select the language supported by the operating system.
3. Restart the system.

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.

12.12.8 Setting A Device Location


To set the device information, follow this procedure:
1. On the other setup page, select the Device Location tab.
2. Set Facility Name. The facility name should be no more than 128 characters.
3. Set Department. Department is where the CMS is located.The department name should be no more than
8 characters.
4. Set Device Name. The device name should be no more than 32 characters.
5. Set Main Screen Display.

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.

12.12.9 Defining the Night Time


You can define the night time for heart rate statistics at the CentralStation. To do so, follow this procedure:
1. On the other setup page, select the ECG 24h Summary tab.
2. Select From and To to define the beginning and end of the night time.

12.12.10 Exporting Logs


In the Log tab, you can export the following items:
■ Logs and parameter data collected by the current system or the remote CentralStation
■ Logs and patient data in the patient monitors connected to the current system or the remote
CentralStation
This tab is available at the CentralStation, the WorkStation, and the ViewStation.
To export logs, follow this procedure:
1. On the other setup page, select the Log tab.
2. On the right of Device Name, select the source where data is to be exported.
◆ Local: exports data in this system.
◆ Department where a remote CentralStation is located: exports data from a remote CentralStation.
3. Select Export. The Log Export Tool page is displayed.
4. Select Setup. After finishing configurations, select OK.
5. Select the desired device from the device list on the Log Export Tool page. If the desired device is not in
the device list, select Add Device Manually. Then add the device info.
6. Select the desired export items: Export Log or Export Clinical Data
7. Upon completion of export, select Quit.

12.13 Factory Maintenance Tab


Items in the Factory Maintenance tab are used by service personnel. This tab is available at the CentralStation,
the WorkStation, and the ViewStation.

12.14 Configuring CentralStation’s System Settings via the WorkStation


When the CentralStation runs as a service, you can change its system settings via the WorkStation connected to
the CentralStation.
To change systems, follow this procedure:
1. Select the system menu area in the upper left corner of the WorkStation’s screen → select System
Setup to access the System Setup menu.
2. Select the Network tab → enter the required password → select the OK button.
3. Select the Central Station Connection tab.
4. Select the desired CentralStation from the list of CentralStations.
5. Select the Setup button.
6. Enter the password to access the CentralStation.
7. Set desired items by referring to the descriptions in this chapter.

12 - 30
13 Maintenance

13.1 Overview
Regular maintenance is essential to ensure that the CMS functions properly.

13.2 Maintenance Safety Information

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

Display ■ 19-inch or above ordinary display with 1280×1024 resolution


■ 19-inch or above widescreen display with 1920×1080 resolution
■ Support up to four displays with 1280×1024 resolution and up to four
displays with 1920×1080 resolution
■ Support touchscreen

Operating System ■ Support Windows® 7 Professional SP1


■ Support Windows® 10
■ Support Windows® Server 2008
■ Support Windows® Server 2012 R2
■ Support Windows® 2016 server

Antivirus Support McAfee Application Control

Graphic card Support dual or multiple displays

Recorder Thermal array, serial port

Printer Support A4 and Letter paper sizes

Speaker ■ Built in the computer or the display


■ Give alarm tones (45 to 85 dB) and alarm tones comply with IEC
60601-1-8.

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.

A.2 Audio Signals

Alarm tone 600 Hz, ISO pattern

Self-test tone 650 Hz, a short beep

Alarm volume adjustment tone 650 Hz, a short beep

Event tone A long beep

Nurse call tone Three beeps

A.3 Maximum Number of Monitoring Devices


Item Maximum number of monitoring devices that can be connected

CentralStation 32

WorkStation 32

ViewStation 32

A.4 Maximum Number of Patient Sectors on the Multibed Screen


Maximum number of patient sectors on the multibed screen of a single
Display resolution
display

1280×1024 16

1920×1080 32

A.5 Wired Network

Network structure Ethernet 802.3

Transmission rate 100 Mbps or above

Max alarm time delay ≤ 3s

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

Most recent 240 hours of full-disclosure waveforms and compressed


Full disclosure
waveforms

A-2
C.O. review Most recent 720 C.O. measurements

NIBP review Most recent 3000 NIBP measurements

Most recent 3000 events, including the parameter name and 16-second
Event review
waveforms before and after an alarm is triggered

Historic review More than 200 discharged patients’ data

Most recent 720 12-lead analysis results, 12 analysis waveforms for each
12-lead Review
analysis result

ST review Most recent 240 hours of ST segments

A.7 Calculation
The CMS supports the following calculations:
■ Drug calculation
■ Hemodynamic calculation
■ Oxygenation calculation
■ Ventilation calculation
■ Renal calculation

A.8 Print

Paper size A4 or Letter

Titration table report, hemodynamic calculation report, oxygenation


calculation report, ventilation calculation report, renal calculation report,
graphic trends report, tabular trends report, full disclosure overview report,
full disclosure detail report, waveform segment report, event report, event list
Outputs report, 12-lead interpretation report, multi-lead ECG report, ST report, QT
report, Arrh statistics report, realtime report, print on alarm report, EEG report,
CSA report, hemoSight parameters report, alarm limits report, summary
report, freeze report, ECG 24H summary, typical strips, system settings report,
paging report

A.9 Recorder

Type Thermal recorder

Port RS232 serial port

Paper width 50 mm

Paper speed 25 mm/s, 50 mm/s

Horizontal resolution 16 dots/mm (25 mm/s paper speed)

Vertical resolution 8 dots/mm

Number of waveform channels Maximum 3

Realtime segment waveform recording, realtime continuous waveform


Outputs recording, auto realtime record, full disclosure detail record, event record,
record on alarm report

A-3
A.10 Data Export

Data format Standard xml file 1

ECG waveform sampling characteristics

Export in full disclosure and event review:80 Hz


Frequency
Export in 12 lead analysis review: 500 Hz

Amplitude resolution 19.5313 uV/LSB

12 lead analysis review: 16 bits


Significant bits
Full disclosure and event review:8 bits

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.

B.2 Alarm Messages in the System Alarm Area


The following table lists alarm messages in the system alarm area at the top of the screen.

Alarm Message Default Priority Cause and Solution

Network is disconnected. High Check the network.


Please check.

Storage Error High Contact your service personnel.

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

Recorder Out Of Paper Prompt Load the paper.

Pager communication Low Check the paging network.


lost

B.3 Alarm Messages in Patient Sectors


The following table lists alarm messages in the patient sectors on the multibed screen.

Alarm Message Default Priority Cause and Solution

Offline Low The monitoring device is disconnected from the CentralStation


network. Please check.

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.

C.2 General Tab


Subtab Item Default Available At

Volume Alarm Volume 2 All

High Alarm Volume Alarm Volume+2

Reminder Volume 5

C-1
C.3 Display Tab

Subtab Item Default Available At

Screen Patient Sector Number 16 All

Auto Close ViewBed Screen Never

Sector Sort Type Manual

Sort By Bed No

Sort Orientation Landscape

Support Switching Locked Sector Off

Clear Unlocked Overview Sector After


Discharging The Patient

Patient Window 12-Lead ECG Selected

ST

Arrhy Statistics

Drug Calculation

Hemo Calculation

Oxygenation Calculation

Ventilation Calculation

Renal Calculation

Other ECG Lead Sequence Normal

Soft Keyboard Off

Outline Font for Suspected Values

Show Resize Window to Top Most On WorkStation, ViewStation

C-2
C.4 Alarm Tab

Subtab Item Default Available At

Audio Minimum Alarm Volume 1 All

Alarm Sound ISO

High Alarm Interval 10 sec

Med Alarm Interval 20 sec

Low Alarm Interval 20 sec

Auto Increase Volume 2 Steps

Increase Volume Delay 20 sec

Alarm Reset Reminder Off

Alarm Off Reminder Off

Reminder Interval 1min

Single Bed Alarm Audio Disable


Off

Resume Alarm Audio Off


When Admit Patient

Global Audio Off by Disable


Priority

Paging Paging Delay 5s CentralStation

Paging Demographics Bed No

Paging Service On

Support Lead Off


Technical Alarm

Support Communication
Message

Support Battery Message

Support Nurse Call

Paging Password No Password


Protection

Other Global Silence Hotkey None All

Global Silence Disable

Offline Alarm Priority Low

Flashing Alarm Bar On

No offline alarm if On
patient discharged

eGateway Off CentralStation


Communication Lost

Log Device Name Local All

C-3
C.5 Patient Management Tab

Subtab Item Default Available At

Field Visit Number Unselected All

Room No

Middle Name

Race

Age

Facility

Department

Patient Group

Custom Field 1 to 4

Patient ID Selected

ADT Query Facility Unselected

Department

Room No

Bed No

Visit Number

Patient ID

Patient Name Selected

Discharge Auto delete discharged On CentralStation


patients on storage space
is full

Prompt on patient auto


deleted

Alarm on storage is
nearly full

Location Location 1 Cathlab

Location 2 X-Ray

Location 3 MRI

Location 4 CT Scan

Location 5 Ultrasound

Location 6 Hemodislysis

Location 7 OR

Location 8 Therapy

Patient Group Group 1 to 16 Selected

Care Group Care Group Setup Mode Manual

Group 1 to 16 Selected

C-4
Subtab Item Default Available At

Other Display Information in Patient Name All


Patient Sector

Patient Name Display F9


Hotkey

Reset Care Group in the Off CentralStation


Locked Sector When
Admitting a New Patient

C.6 Review Tab

Subtab Item Default Available At

Full Disclosure Save Waveform Medium Resolution CentralStation

Event Lethal Selected

Rename Event On CentralStation,


WorkStation

Arrhy Mark Asystole Selected All

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

Pacer Not Capture

Pacer Not Pacing

Missed Beats

Nonsus V-Tach

Pause

A-Fib

Irr Rhythm

C-5
Subtab Item Default Available At

Export Save As Off All

C.7 Telemetry Tab

Subtab Item Default Available At

Alarm Alarm Delay 6 sec CentralStation

ST Alarm Delay 30 sec

ECG Lead Off Low

SpO2 Sensor Off Low

No RF Signal Med

Alarm Reset Permanent

Alarm Pause 2 min

Lethal Arrhy Alarms Off Disable

Arrhy Shield Time 2 min

Latching-Lethal Visible & Audible

V-Tach Latching Lock Enable

ECG Notch Frequency 60Hz CentralStation

Analysis Lead Off

Nurse Call Nurse Call Enable

Nurse Call Audio Mode Standard

C.8 Network Tab

Subtab Item Default Available At

General Central Station Address Off WorkStation,


ViewStation

Support Monitor Remote View Off CentralStation

CMS Sending Broadcast Data Off

Encryption Connection Type Only Private


Encryption

Broadcast Patient Demographics Off

eGateway ADT Query Off All

Export Waveform Data CentralStation

Export 12-lead ECG Data

Export PDF Report CentralStation,


WorkStation

C-6
Subtab Item Default Available At

Central Station Authorization Access Control Full Control CentralStation,

A password is required to access this Unselected


Central Station

Bed Authorization Default authorization to be enabled Selected


for all beds.

AP Management Setup Mode Allowed Area

Department General

Trigger an alarm when patients move Off


out of the allowed area

Alarm Priority Low

C-7
C.9 Print Tab

Subtab Item Default Available At

Printer Paper Size A4 All

For General Report, End Case Report, Print on


Alarm Report, and Scheduled Report:

Print Action Paper

Printer Blank

Printer Resolution 300 dpi

PDF Resolution 600 dpi

Scheduled Report Scheduled Report Switch Off

Time 08:00

Scheduled Report 8 hrs


Interval

Tabular Trends Report Selected

End Case Report Period 4 hrs

Tabular Trends Report Selected

Report Layout Patient Name Displayed

Patient Category

DOB

Gender

Patient ID

Bed No

Height/Weight

Paced

ECG Report Patient ID Selected

Patient Name

Age

Gender

PDF File Name Patient ID Displayed

Title

Printing Time

Recorder Recorder Switch Disabled

Recorder COM Port COM2

Other Print on Alarm Printer

Printing Duration On 20 sec


Alarm

Monitor Remote Print Enabled

Second Mark (Printer) Enabled

Recording Duration 8 sec

Recorder Paper Speed 25 mm/s

C-8
C.10 Other Tab

Subtab Item Default Available At

Unit Height Unit cm All

Weight Unit kg

ST Unit mV

Hb Unit g/dl

CVP Unit cmH2O

ICP Unit mmHg

CO2 Unit

O2 Unit %

Temp Unit °C

Pressure Unit mmHg

SVR Unit DS/cm5

Caliper Unit msec

Integrated Devices Unit Pressure Unit cmH2O CentralStation

CO2 Unit mmHg

TcpCO2/tcpO2 Unit

Module Barometric Pressure 760mmHg CentralStation

QTc Formula Hodges All

ECG Standard AHA

Time Time Synchronization Master Server CentralStation

Date Format yyyy-mm-dd All

24-Hour Time On

Authorization Setup Retention Time 20 sec All

User Maintenance Local Password

Delete Discharged No Password CentralStation,


Patients WorkStation

C-9
Subtab Item Default Available At

Authorization Setup For Telemetry For Monitor

Alarm Setup Enable Read Only CentralStation

Read Only WorkStation

Arrhythmia Enable Read Only CentralStation

Read Only WorkStation

Alarm Pause&Audio Enable Enable CentralStation


Pause&Alarm Reset
Read Only Read Only WorkStation

Privacy Mode / Read Only CentralStation,


WorkStation
Night Mode

Modify Patient Enable Enable CentralStation,


Demographics WorkStation

Transfer Patient

Discharge Patient

Standby

NIBP Start/Stop Enable Enable CentralStation,

Read Only Read Only WorkStation

NIBP Interval / Enable CentralStation,

Read Only WorkStation

NIBP Clock Measure / Enable CentralStation,

Read Only WorkStation

ST Analysis Enable Enable CentralStation

Read Only Read Only WorkStation

QT Analysis Enable Enable CentralStation

Read Only Read Only WorkStation

QRS Threshold Enable / CentralStation

Read Only WorkStation

Pacemaker Rate Enable Enable CentralStation

Read Only Read Only WorkStation

Pacer Reject Enable Enable CentralStation

Read Only Read Only WorkStation

ECG Relearn Enable Enable CentralStation

Read Only Read Only WorkStation

Send Data to EMR/Export Enable Enable CentralStation


EMR
Enable Enable WorkStation

Care Group Assignment Enable Enable CentralStation

Enable Enable WorkStation

Device Location Enable Enable CentralStation,


WorkStation

C - 10
Subtab Item Default Available At

Device Location Main Screen Display Facility Name+Department All

Synchronize Location To Off CentralStation,


Telemetry/Monitor WorkStation

ECG 24h Summary Night time From 22:00 CentralStation

Night time To 06:00

Third-Party App Third-Party App Off WorkStation,


ViewStation

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

bpm beat per minute

bps bit per second

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

mAh milliampere hour

mbar mbar

M mega

MB mega byte

MHz mega hertz

D-1
Abbreviation Full Form

mcg microgram

mEq milli-equivalents

mg milligram

min minute

ml milliliter

mm millimeter

mmHg millimeters of mercury

ms millisecond

mV millivolt

mW milliwatt

MΩ megaohm

nm nanometer

rpm breaths per minute

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

≤ less than or equal to

≥ greater than or equal to

± 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

AgAwRR Anaesthesia Gas Air-way Respiration Rate

AHA American Heart Association

Ao aortic pressure

AP MAP Mean Artery Pressure

Art arterial

ATMP barometric pressure

AUC area under the curve

AUX Auxiliary

aVF left foot augmented lead

aVL left arm augmented lead

aVR right arm augmented lead

awRR airway respiratory rate

BAP brachial arterial pressure

BC burst count

BL baseline

BIS bispectral index

BSA body surface area

BT blood temperature

BTPS body temperature and pressure, saturated

CaO2 arterial oxygen content

CCI continuous cardiac index

CCO continuous cardiac output

CCU cardiac (coronary) care unit

Cdyn Dynamic compliance

CE Conformité Européenne

CFI cardiac function index

C.I. cardiac index

CIS clinical information system

CISPR International Special Committee on Radio Interference

CMOS complementary metal oxide semiconductor

CMS central monitoring system

C.O. cardiac output

CO2 carbon dioxide

COHb carboxyhemoglobin

D-3
Abbreviation In Full

Compl compliance

CPI cardiac power index

CPO cardiac power output

CPU central processing unit

CRT cathode ray tube

CSA Compressed Spectral Array

Cstat Static compliance

CVP central venous pressure

DBS double burst stimulation

DC direct current

Des desflurane

Dia diastolic

DO2 oxygen delivery

DO2I oxygen delivery index

dpi dot per inch

dPmx left ventricular contractility

DSA Density Spectral Array

DVI digital video interface

ECG electrocardiograph

EDV end-diastolic volume

EEC European Economic Community

EEG electroencephalogram

EMC electromagnetic compatibility

EMG electromyograph

EMI electromagnetic interference

Enf enflurane

ESU electrosurgical unit

Et end-tidal

EtAA end-tidal anesthetic agent

EtDes end-tidal anesthetic agent

EtEnf

EtHal

EtIso

EtSev

EtCO2 end-tidal carbon dioxide

EtN2O end-tidal nitrous oxide

ETO ethylene oxide

EtO2 end-tidal oxygen

EVLW extravascular lung water

D-4
Abbreviation In Full

ELWI extravascular lung water index

FAP femoral arterial pressure

FCC Federal Communication Commission

FDA Food and Drug Administration

Fi fraction of inspired

FiAA inspired anesthetic agent

FiDes inspired anesthetic agent

FiEnf

FiHal

FiIso

FiSev

FiCO2 fraction of inspired carbon oxygen

FiN2O fraction of inspired nitrous oxide

FiO2 fraction of inspired oxygen

Flow flow

fmand Mandatory breathing frequency

FPGA field programmable gate array

FRC fractional residual capacity

FreqMIN Minimum breath frequency

fSIMV Frequency of SIMV

fsigh sigh rate

fspn Spontaneous breathing frequency

ftot Total breath rate

F-Trigger Inspiratory trigger level (flow trigger)

FV flow-volume

GEDV global end diastolic volume

GEDI global end diastolic volume index

GEF global ejection fraction

Hal halothane

Hb hemoglobin

Hct haematocrit

HIS hospital information system

HR heart rate

IBP invasive brood pressure

IBW ideal body weight

ICG impedance cardiography

ICP intracranial pressure

ICT/B intracranial catheter tip pressure transducer

ICU intensive care unit

D-5
Abbreviation In Full

ID identification

I:E inspiratory time: expiratory time ratio

IEC International Electrotechnical Commission

IEEE Institute of Electrical and Electronic Engineers

Ins, INS inspired minimum

InsCO2 inspired minimum carbon dioxide

Insp.Flow inspiration flow

Insp. MAC inspired minimum alveolar concentration

int.PEEP Intermittent PEEP

IP internet protocol

Iso isoflurane

ITBI intrathoracic blood volume index

ITBV intrathoracic blood volume

LA left arm

LAP left atrial pressure

LCD liquid crystal display

LCW left cardiac work

LCWI left cardiac work index

LED light emitting diode

LL left leg

LVET left ventricular ejection time

LVSW left ventricular stroke work

LVSWI left ventricular stroke work index

MAC minimum alveolar concentration

MAP mean arterial pressure

MetHb methemoglobin

MRI magnetic resonance imaging

MV minute volume

MVe expiratory minute volume

MVi inspiratory minute volume

N/A not applied

N2 nitrogen

N2O nitrous oxide

Neo neonate

NIBP noninvasive blood pressure

NIF negative inspiratory force

O2 oxygen

O2% oxygen concentration

D-6
Abbreviation In Full

OR operating room

oxyCRG oxygen cardio-respirogram

PA pulmonary artery

pArt artery pressure

pArt-D diastolic artery pressure

pArt-M mean artery pressure

pArt-S systolic artery pressure

Paw airway pressure

PAWP pulmonary artery wedge pressure

pCVP central venous pressure

Ped pediatric

PEEP positive end expiratory pressure

PEF peak expiratory flow

PEP pre-ejection period

PIF peak inspiratory flow

PIP peak inspiratory pressure

Pleth plethysmogram

Pmean mean pressure

PO2 oxygen supply pressure

Pplat plateau pressure

PPV pulse pressure variation

PR pulse rate

PVC premature ventricular contraction

PVPI pulmonary vascular permeability index

PVR pulmonary vascular resistance

PVRI pulmonary vascular resistance index

RA right arm

RAP right atrial pressure

Raw airway resistance

Rec record, recording

Resp respiration

RL right leg

RM respiratory mechanics

RQ respiratory quotient

RR respiration rate

RSBI rapid shallow breathing index

rSO2 regional oxygen saturation

SaO2 arterial oxygen saturation

ScvO2 central venous oxygen saturation

D-7
Abbreviation In Full

SEF spectral edge frequency

Sev sevoflurane

SI stroke index

SMR satellite module rack

SpO2 arterial oxygen saturation from pulse oximetry

SQI signal quality index

SR suppression ratio

SSI signal strength index

STR systolic time ratio

SV stroke volume

SVI stroke volume index

SVR systemic vascular resistance

SVRI systemic vascular resistance index

SVV stroke volume variation

SvO2 venous oxygen saturation

Sync synchronization

Sys systolic pressure

TB Blood Temperature

tcpCO2 transcutaneous carbon dioxide partial pressures

tcpO2 transcutaneous oxygen partial pressures

TD temperature difference

Temp temperature

TFC thoracic fluid content

TFI thoracic fluid index

TFT thin-film technology

TI injectate temperature

TP total power

TRC tube resistance compensation

TVe expiratory tidal volume

TVi inspiratory tidal volume

TV tidal volume

UAP umbilical arterial pressure

UPS uninterruptible power supply

USB universal serial bus

UVP umbilical venous pressure

VAC volts alternating current

VEPT volume of electrically participating tissue

VI velocity index

VAC volts alternating current

D-8
Abbreviation In Full

VCO2 CO2 production

VO2 oxygen consumption

VO2I oxygen consumption index

VO2/kg oxygen consumption per body weight


2
VO2/m oxygen consumption per body surface area

VT Tidal volume

VTapnea apnea tidal volume

VTe/TVe Expiratory tidal volume

VTe spn Spontaneous breathed minute volume

VTi/TVi inspiratory tidal volume

VTsigh Sigh tidal volume

WOB work of breathing

WOBimp Imposed work of breathing

D-9
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D - 10
P/N: 046-010879-00 (9.0)

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