FAIRFIELD, CA 94533

PATIENT MONITOR
CYBERMED I
ECG, RESP, TEMP, NIBP, SPO2, HR

OPTIONAL
IBP, ETCO2

I
 Foreword

Description

Welcome to use our Multi-parameter Monitor (hereinafter referred to as the

“Monitor”)! This manual describes the product performance, operating methods and
other safety information in detail. Please read and comprehend the contents of this
manual carefully before using the product in order to ensure proper use and normal
operation under the appropriate safety standards.

This manual describes the product in its most complete configuration, so some of the
contents may not apply to the product you purchased. If you have any questions,
please contact us.

Applicable objects

This manual is intended for professional clinical staff.

Illustration

All illustrations provided in this manual are for reference only, and the settings or
data in the illustrations may not exactly match the actual display seen on your
product.

Scope of application

The multi-parameter monitor is suitable for monitoring and measuring vital signs
such as ECG, respiration rate, SPO2, heart rate/pulse rate, non-invasive blood
pressure, and body temperature in medical institutions. The monitoring information
can be displayed, reviewed and stored.

Attention: All refer to the real product!

Our company reserves the rights for final interpretation to this manual.
Our company reserves the rights to revise this manual without prior notice.
Our company reserves the rights to revise technologies without prior notice.
Our company reserves the rights to revise product specifications without prior notice.

II
 Chapter 1. Safety
1.1 Electrical Safety Specifications
The monitor is designed to comply with international safety requirements for medical
electrical equipment such as IEC 60601, IEC 80601, etc.
Classified according to the risk level of medical equipment, it is Class IIb active (non-implanted)
medical equipment.
Classification according to the requirements of the medical electrical equipment safety
standard IEC60601-1:
Classified according to the type of protection against electric shock: a) Equipment using
external power supply: class I equipment; b) equipment with internal power supply;
Classified according to the degree of protection against electric shock: BF and CF type
application part with anti-defibrillation and BF type application part without anti-defibrillation,
of which the ECG detection, invasive blood pressure and CO2 part is anti-defibrillation CF type,
non-invasive blood pressure part is anti-defibrillation BF type, pulse SPO2 and body
temperature detection part is BF type without anti-defibrillation;
Shell protection grade: IP22;
Rated voltage and frequency of the equipment: AC 100-240V, 50/60Hz;
Input power of the equipment: 250AV;
1.2 Safety Information

Warning
Prompt for potentially dangerous or unsafe operations. Failure to comply may result in
serious personal injury, property damage or death

Caution
Information that you should know in order to avoid damage to your equipment.

Note
Important information for relative operation and usage that should be emphasized.

1.2.1 Warning

1. The equipment can be used by only one patient at a time.

2. Before use, the user must check the equipment, cables and accessories to ensure that
they work properly and safely.
3. Do not use this equipment in an environment where flammable or explosive materials
such as anesthesia are placed in order to prevent fire and explosion.
4. In order to reduce the risk of electric shock, do not open the equipment. If necessary,
please ask qualified personnel to repair.
5. In order to use the equipment safely and continuously, please follow the instructions
listed. The instructions listed in this manual are not a substitute for medical procedures
already in progress.
6. Do not rely on the audible alarm system to monitor the patient. If the volume is set too
small or completely shut down when monitoring the patient, it may cause disaster to the
patient. It is important to remember that a reliable patient monitoring method combines
the proper use of monitoring equipment with close personal monitoring of the patient.

1
7. When using a defibrillator, make sure that the patient is not exposed to metal or other
conductors or equipment. Avoid contacting with the patient, operating table or equipment
when using the defibrillator, as this may result in serious injury or death.
8. The physiological waveforms, physiological parameters and alarm information displayed
by the equipment are only used for medical reference and can’t be directly used as the basis
for clinical treatment.
9. Carefully place the power cord and accessory cables to prevent the patient from being
entangled or suffocated, the cables entangled, or subject to electrical interference.
10. This equipment may interfere with the ultrasound imaging system and behave as an
interference signal on the ultrasound display. Keep the distance between the two
instruments as far as possible.
11. Exposure of electrical contacts or attachments to normal saline or other liquids and
conductive adhesives is dangerous. Electrical contacts and connections such as cable
connectors, power supplies, parameter module plug connectors and rack connectors must
be kept clean and dry. Dry thoroughly if they are contaminated with liquids. If further
decontamination is needed, please contact biomedical department or our company.
12. This is not a treatment unit.
13. Failure to implement a satisfactory maintenance plan by hospitals or medical
institutions that are responsible for the use of this instrument may result in instrument
failure and may endanger personal health.
14. This equipment can only be connected to a power outlet with protective ground. This
equipment is a Class I equipment that can be connected to the power grid or operated by
internal power supply (batteries). If the external protective conductor has problem in
installation or the integrity of its wiring, the equipment should be operated by the internal
power supply.
15. All sensor interfaces of this equipment can only be connected to the sensors specified by
our company.
16. Regularly check whether the alarm function of the monitor is valid.
17. Do not use wires with exposed conductors on both ends. Check the wires and
connectors before using the lead wires. If damage is found, please replace it immediately.
18. When the patient uses several devices at the same time, the leakage current will
increase injury to the patient. Consult a professional to check the leakage current before use
to ensure that the leakage current is within the safe range.
19、When using electrosurgical equipment, the patient lead cables should be kept away
from the operating table to reduce the risk of burns due to improper connection.
20. The operator should not touch the signal input or output terminal of the patient and the
monitor.
21. Before replacing the patient, make sure that all previous monitoring data has been
cleared to prevent confusion.

1.2.2 Caution

1. To ensure patient safety and product performance, please use the accessories specified in
this manual.
2. When the equipment and its accessories are about to exceed their service life, they must
be disposed of in accordance with relevant local regulations or the hospital’s system.
3. The electromagnetic field will affect the performance of this equipment. Therefore, other
equipment used in the vicinity of this equipment must comply with the EMC requirements

2
of the latest edition of IEC60601-1-2. Mobile phones, X-ray or MRI equipment are all
possible sources of interference because they emit high-intensity electromagnetic radiation.
4. Before turning on the equipment, please confirm that the voltage and frequency of the
power supply meet the requirements of the equipment label or the requirements specified
in this manual.
5. Please install or carry the equipment properly to prevent it from damage caused by falling,
colliding, strong vibration or other mechanical force.

1.2.3 Note

1. This instrument can’t be used at home.

2. Install the equipment in a location that is easy to observe, operate, and maintain.
3. This manual describes the product in the most complete configuration. The product you
purchased may not have some configuration or function.
4. The accessories must comply with the IEC60601 standard.
5. The batteries will discharge even if they are not used, so check the battery level once a
month.
6. Data lost. When equipment data is accidentally lost, pay close attention to the patient
until the equipment returns to normal.
7. The back of the equipment must not be blocked in order to dissipate heat.
8. If the liquid spills into the casing of the equipment, immediately disconnect the power
supply and contact the maintenance personnel.
9. Plastic bags and other packaging materials and used batteries should be kept away from
children or properly disposed of according to relevant regulations.
1.3 Patient Safety
1.3.1 Environment
Follow the instructions below to ensure absolute safety in electrical installation. The
environment in which the monitor is used should be reasonably protected from vibration,
dust, corrosive or explosive gases, extreme temperatures, humidity, and the like. When
installed in the instrument cabinet, there must be enough space in front to facilitate operation.
With the door open, there must be enough space behind for easy maintenance. The
circulation of air in the cabinet should be guaranteed.
About 15 minutes after the power is turned on, the monitor can meet the technical
specifications working in the ambient temperature range of 5~45°C. Ambient temperatures
outside this range may affect the accuracy of the instrument and cause damage to
components and wiring. Allow at least 2 inches (5 cm) of space around the instrument to
ensure air circulation.
1.3.2 Power Requirements
The operating power of the monitor is: AC 100-240V, 50/60Hz.
To protect patients and medical staff, the monitor’s outer casing must be grounded. Therefore,
the monitor is equipped with a detachable three-wire power cable that grounds the
instrument through the ground wire (protective ground) in the power cord, when plugged
into a matching three-wire outlet. If you do not have a three-wire outlet, please contact the
electrical management staff of the hospital.
Do not connect the three-wire cable of this instrument to the two-wire plug.
If it is not clear from the instrument specifications whether a particular combination of
instruments is dangerous, for example, due to the accumulation of leakage current, you
should consult the manufacturer or experts in this area to ensure that the necessary safety of
3
all the instruments is not compromised by the proposed combination.
1.3.3 Condensation
During operation, ensure that the instrument is not condensed and condensation may form as
the instrument moves from one room to another. This is because the instrument is exposed to
moist air and different temperatures.
1.3.4 Description of Symbols or Icons on the Monitor
Table 1-1
Symbol Description
Off/on (power)
AC power supply
DC power supply

Alarm silent or restore alarm

frozen or unfrozen waveform

Start or stop non-invasive blood pressure measurement

Start or stop print

Menu

Potential equalizer terminal

Anti-defibrillation CF type application part

BF type application part

Anti-defibrillation BF type application part

Standard RJ45 interface, connect to the central monitoring
system via internet

USB interface

Signal output
Note! Please check the attached file of this monitor(this
manual)!

Refer to the manual

Disposal of waste electrical and electronic equipment

separately, (Follow local government regulations and
recycling instructions for batteries)
Comply with the Medical Device Directive 93/42/EEC, the
European Commission Medical Device Directive

Serial number

IPX1 Shell protection grade

4
 Non-ionizing radiation

Date of manufacture

Manufacturer

Lifespan

1.4 Electromagnetic Compatibility

Caution:
 The monitor complies with the electromagnetic compatibility requirements of the latest
version of the IEC 60601-1-2 standard.
 You should install and use according to the electromagnetic compatibility information in
the provided document.
 Portable and mobile RF communication equipment may affect the performance of the
monitor, so please avoid strong electromagnetic interference when use, such as mobile
phone and microwave oven.
 The guidance and manufacturer declaration are detailed in the attachment.

Warning:
 The monitor should not be used close to or stacked with other equipment. If necessary,
observe and make sure that it can operate normally under the configuration it uses;
 Class A equipment is intended for use in industrial environments where electromagnetic
compatibility may be potentially difficult in other environments due to conducted
disturbances and radiated disturbances from the monitor;
 In addition to the cables sold by the manufacturer of the monitor as spare parts for
internal components, using accessories and cables outside the specified regulations may
result in increased monitor emissions or reduced immunity.
 Operating the device lower than the minimum or minimum value as specified in the
instructions may result in inaccurate consequences. The minimum amplitude or minimum
value of the patient's physiological signal is: heart rate 20bpm, SPO2: 70%, pulse rate:
25bpm, diastolic blood pressure: 10mmHg, systolic blood pressure during adult
monitoring: 30mmHg.
No Cable name Cable length（m） Whether to block
1 Power cable 1.8 Yes
2 Equipotential cable 1.2 No
3 ECG lead cable 2.9 Yes
4 Blood oxygen probe cable 2.9 Yes
5 Temp probe cable 2.8 Yes

5
 Attachment:
Guidelines and manufacturer's statement - electromagnetic emission
The instrument is intended to be used in the electromagnetic environment specified below, and the purchaser or user
of the instrument should guarantee that it is used in this electromagnetic environment:
emission test Conformity Electromagnetic environment-guidelines
The instrument uses RF power only for its internal functions. Therefore,
RF emission its RF emission is low and the possibility of interference to nearby
Group 1
EN 55011
electronic devices is minimal.
RF emission
Class A
EN 55011

Harmonic emission The instrument is suitable for use in all facilities, including household
N/A
IEC 61000-3-2 facilities and public low-voltage power supply networks directly
Voltage fluctuation/flicker connected to household homes.
emission N/A
IEC 61000-3-3

Guidelines and manufacturer's statement - Electromagnetic immunity

The instrument is intended to be used in the electromagnetic environment specified below, and the purchaser or user
of the instrument should guarantee that it is used in this electromagnetic environment:
Electromagnetic
Immunity test IEC60601 test levels Applicability levels
environment-guidelines
The ground should be wood,
electrostatic concrete or ceramic tile, if the
±8 kV contact discharge ±8 kV contact discharge
discharge ground is covered with synthetic
±15 kV air discharge ±15 kV air discharge materials, the relative humidity
IEC 61000-4-2
should be at least 30%.
The network power supply should
Electrical fast
±2kV have the quality used in a typical
transients/bursts ±2kV
100KHz repetition frequency commercial or hospital
IEC 61000-4-4
environment.
The network power supply should
Surges ±1 kV Line-to-line ±1 kV Line-to-line have the quality used in a typical
IEC 61000-4-5 ±2 kV Line-to-ground ±2 kV Line-to-ground commercial or hospital
environment.
0%UT;0.5 cycle 0%UT;0.5 cycle
The network power supply should
Voltage dips At 0°, 45°, 90°, 135°, 180°, At 0°, 45°, 90°, 135°, 180°,
225°, 270°and 315° 225°, 270°and 315° have the quality used in a typical
IEC 61000-4-11
0%UT;1 cycle and 70%UT; 0%UT; 1 cycle and 70%UT; commercial or hospital

6
 25/30 cycles 25/30 cycles environment. If the user of the
Single phase: at 0° Single phase: at 0° device needs to run continuously
during a power outage, it is
Voltage
recommended that the device be
interruptions 0%UT;250/300 cycle 0%UT;250/300 cycle
powered by an uninterruptible
IEC 61000-4-11
power supply or battery.
The power frequency magnetic
RATED power field should have a power
frequency frequency magnetic field level
30A/m 30A/m, 50/60Hz
magnetic fields characteristic typical of a typical
IEC 61000-4-8 commercial or hospital
environment.

Note: UT refers to the voltage of the AC network before the test voltage is applied.

Guidelines and manufacturer's statement-Electromagnetic immunity

The instrument is intended to be used in the electromagnetic environment specified below, and the purchaser or user
of the instrument should guarantee that it is used in this electromagnetic environment:

7
 Applicability
Immunity test IEC60601 test levels Electromagnetic environment-guidelines
levels
Portable and mobile RF communications equipment
should not be used closer to any part of the
instrument than recommended isolation distances,
including cables. The distance shall be calculated by
Conducted 3 Vrms 3 Vrms
a formula corresponding to the frequency.
disturbances 150 kHz to 80 MHz
induced by RF Recommended isolation distance
6 Vrms 6 Vrms
fields d=
150 kHz to 80 MHz
IEC 61000-4-6
80% AM at 1 kHz
d= 80MHz to 800MHz

d= 800MHz to 2.7GHz

In the formula:
3V/m 3V/m
p-According to the maximum rated output of
Radiated RF EM
80 MHz to 2.7 GHz transmitters provided by transmitter manufacturers,
fields
80% AM at 1 kHz Watt (W) is the unit; d -The recommended isolation
IEC 61000-4-3
distance, Meter(m) is the unit. The field strength of
a stationary RF transmitter is determined by
surveying (c) the electromagnetic site, and (d)
should be lower than the applicability level in each
frequency range. Interference may occur near the
device that marks the following symbol.

Note1: In the frequency of 80MHz and 800MHz, the higher frequency formula is adopted.
Note2: These guidelines may not be suitable for all situations, where electromagnetic transmission is affected by the
absorption and reflection of buildings, objects and bodies.
a. Stationary transmitter, such as base stations for wireless (cellular/cordless) telephones and ground-based mobile
radios, amateur radios, AM and FM radio broadcasts and television broadcasting, are theoretically predicted
accurately in the field strength. In order to evaluate the electromagnetic environment of the Stationary RF
transmitter, the investigation of the electromagnetic field should be considered. If the measured field strength is
higher than the applicable RF conformance level, the instrument should be observed to verify its normal operation. If
abnormal performance is observed, supplementary measures may be necessary, such as re-adjusting the orientation
or position of the instrument.
b. In the whole frequency range from 150KHz to 80MHz,the field strength should be less than 3 V/m.

8
 Recommended isolation distance between portable and mobile RF communication devices and instruments
The instrument is expected to be used in the electromagnetic environment controlled by radio frequency radiation
disturbance. Depending on the maximum rated output power of the communication equipment, the purchaser or user
can prevent electromagnetic interference by maintaining the minimum distance between the portable and mobile radio
frequency communication equipment (transmitter) and the instrument as recommended below.

Isolation distance for different frequencies of the transmitter/m

Rated maximum output 80MHz~800MHz
150kHz~80MHz 800MHz~2.7GHz
power of the transmitter/w
d= d= d=

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3

10 3.8 3.8 7.3

100 12 12 23

For the rated maximum output power of the transmitter not listed in the table above, the recommended isolation
distanced, in meters(m),can be determined by the formula in the corresponding transmitter frequency bar, where p is
the transmitter manufacturer's maximum output power rating, in Watts (W) units.
Note1: In the frequency of 80MHz and 800MHz, the higher frequency formula is adopted.
Note2: These guidelines may not be suitable for all situations, where electromagnetic transmission is affected by the
absorption and reflection of buildings, objects and bodies.

9
 Chapter 2. Overview
 A comprehensive understanding of the monitor
 Get the information displayed on the screen
 Comprehend the location of interfaces
 Comprehend general operation methods

Warning: The monitor is intended for clinical patient monitoring and only trained
personnel such as doctors and nurses are allowed to use the monitor. Anyone who is not
authorized or who is not trained may not perform any operations.

Warning: Do not open the case of the instrument in order to avoid possible electric shock.
Any repairs and upgrades to the monitor must be performed by a service personnel trained
and authorized by our company.
2.1 Introduction to Multi-parameter Monitor
This monitor is designed to meet the diverse needs of today’s healthcare organizations. It
adopts miniaturized design, small size, light weight, AC/DC operation, which is convenient for
clinical and emergency needs. Its characteristics are as follows:
Complete measurement parameters
Display simultaneous five-lead ECG, respiration, SPO2, heart rate/pulse, non-invasive blood
pressure, body temperature, invasive blood pressure(optional), CO2(optional) at the same
time. The monitoring information is displayed, reviewed, stored and printed(optional).
Flexible and convenient
Small size, light weight, easy to carry, and long battery life.
With trend data display, ECG playback function
Optional built-in rechargeable, maintenance-free, high-capacity battery for operation during
power outages and when transporting patients
Scope of application: Suitable for assembly in operating rooms, ICU wards, CCU wards and
other places where patients need to be monitored. It can display ECG waveforms, respiratory
waveforms(CO2 waveform) and blood oxygen waveforms in real time. It is mainly used in the
monitoring and measurement occasions such as intraoperative monitoring, postoperative
monitoring, and continuous hospitalization of critically ill patients.
2.2 Description of Instrument and External Interfaces
The front view of the monitor, as shown in Fig. 2-1:
Display window: Displays various measurement parameters, waveforms, menus, alarms, and
status quantities.
Power switch: Press and hold this button for at least 3 seconds to turn the monitor on/off.
AC indicator: When the instrument is connected to AC, the green indicator light is always on.
Battery indicator: When only the internal battery is used for power supply, the green light is
always on after the power is turned on, and the battery level icon is displayed in the upper
right corner of the display; Install the battery and use AC power. When turned on, the green
light is always on, and the battery charging icon is displayed at the upper right corner of the
display.
Alarm light: The alarm light flashes when any parameter exceeds the set alarm limit.
Rotation button: The rotation button can be rotated clockwise or counterclockwise or pressed.
You can rotate the button to select a menu item and press the button to execute a menu item.
In the main menu, select each submenu by turning the button left/right, and press the button
10
to enter the selected submenu. In the main interface, use the button to select the text and
the highlighted text selected; press the button to enter the corresponding menu or interface.

Handle Alarm light

Display window

AC indicator Power indicator

Power switch Function button

Rotation button
Fig. 2- 1 Front View
Function buttons: from left to right: [SILENCE], [FREEZE], [NIBP], [PRINT], [MENU].
(1) SILENCE: Press this button to switch between mute for 2 minutes and normal alarm.
(2) FREEZE: In normal monitoring mode, press this button to freeze all waveforms of the
display window. Press this button again in the frozen state to exit the frozen state.

Caution: If you press this button during test in continuous measurement mode, not only
the measurement is abandoned, but also the continuous measurement process is stopped.
(3) NIBP: Press this button to inflate the cuff in the non-blood pressure measurement state
and start a blood pressure measurement. If you want to give up the measurement in the
measurement state, press this button to stop the measurement and deflate
immediately.
(4) PRINT: After this button is pressed, print according to the information actually set by the
machine.
(5) MENU: Main menu button. Press this button to enter the system main menu, through
which you can enter the setup menu for each measurement parameter. Press this
button again to hide the menu.

11
The rear view of the monitor, as shown in Fig. 2-2:

Expand module

Fuse LAN
socket

AC Equipotential
socket terminal

USB Signal
interface output

Fig. 2-2 Rear view

Warning: When other equipment is used together with the monitor, it should be
connected to the equipotential terminal of the monitor by wires to eliminate the ground
potential difference between different them and ensure the safety.
The side view of the monitor (and the sensor interface diagram), as shown in Fig. 2-3:

IBP1/2 Invasive blood pressure socket

TEMP1/2 Body temperature probe socket
SpO2 Oxyhemoglobin probe socket
ECG/RESP ECG/respiration cable socket
NIBP Non-invasive blood pressure interface

Fig. 2 - 3 Side View

12
 Warning: All signal output and signal input parts of this equipment can only be
connected with the equipment specified by our company!

Warning: The functions of the USB interface, RJ 45 and VGA interfaces are not open to
users and are only used for internal maintenance and debugging in the factory.
2.3 Abbreviation Definition
Name Definition & abbreviation
ECG Electrocardiogram abbreviation, represent ECG parameter
RESP Respiration abbreviation, represent respiration parameter
TEMP Temperature abbreviation, represent body temperature parameter
NIBP Non-invasive blood pressure abbreviation, represent NIBP parameter
SPO2 Pulse Oxygen Saturation abbreviation, represent SpO2
HR Heart rate
RR Respiratory rate
PR Pulse rate
IBP Invasive Blood Pressure abbreviation, represent IBP parameter
CO2 Carbon dioxide abbreviation, represent CO2 parameter

13
 Chapter 3. Installation of the Monitor
Caution: To ensure proper operation of the monitor, please read this chapter and Chapter
1, Section 3 - Patient Safety before use and install as required.
3.1 Unpacking and Inspection
Carefully take out the monitor and accessories from the box and keep the packing materials
properly for later shipping or storage. Check the accessories according to the packing list.
Check for any mechanical damage.
Check all exposed wires, inserts and accessories.
If you have any questions, please contact us or the agent immediately.
3.2 Installation and Connection
Make sure the AC power supply meets the following specifications: 100-240V, 50/60Hz.
Keep the air circulation in the place where the monitor is placed. Prevent the vents of the
instrument from being blocked (such as other instruments, walls or blankets); ensure that the
surrounding environment indicators meet the specifications of the instrument at all times.
Use the power cord that comes with the instrument. Plug the power cord into an AC outlet on
the rear panel of the instrument and plug the other end of the power cord into a grounded
electrical outlet.
Turn on the instrument by pressing the power switch for more than 3 seconds, and the green
indicator light is on, indicating that the instrument has started working.

Caution: Connect the power cord of the monitor to the dedicated outlet in the hospital.

3.3 Turning On

Warning: If you find evidence of damage to the monitor or an error message, do not use
the monitor to perform any monitoring procedures on the patient. Contact biomedical
engineer of your hospital or our service engineer.
Press the power switch (located on the front panel, as shown in Fig. 2-1) to turn on the
machine. After about 1 minute, the monitor passes the self-test and enters the main display
interface for normal monitoring. For specific operation methods and how to configure
parameters according to the monitoring requirements, please refer to the relevant chapters.
3.4 Patient Sensor Connection
Connect the required patient sensor to the monitor and the monitoring position of the
patient.

Caution: Please refer to Chapter 2 for the correct connection method and related
requirements for various sensors.

14
 Chapter 4. How to Use
4.1 Display Interface Introduction
Standard layout
7 6 5 4

1 3

2
Fig. 4-1

No. Name No. Name

1 Waveform area 5 Technical alarm area
2 Shortcut button area 6 Physiological alarm area
3 Parameter area 7 Patient info area
4 Status bar

The above is the demo mode interface, which displays 2-channel ECG waveform, respiratory
waveform, SPO2 waveform and various measurement parameters. Description of each area of
the screen:
1. Waveform area:
Lead I, lead II, SPO2 waveform and respiratory waveform can be displayed in the main
interface. As shown in Fig. 4-1.
I 25.0mm/s ×1
The text at the top left of each ECG channel indicates the lead displayed on this channel.
“×1” indicates the gain of the waveform and can be set by selecting the text.
“25.0 mm/s” indicates the waveform scanning speed, which is set by selecting the text.
PLETH indicates the SPO2 waveform, which is adjustable in the SPO2 setting menu.
RESP6.25mm/s indicates the respiratory waveform scan speed, which is adjustable in
respiratory settings menu.
2. Shortcut button area:
15
There is a row of shortcut buttons at the bottom of each interface. You can select it on the
shortcut bar by turning the knob. After pressing the knob, you can enter the relevant interface
to set it. The shortcut bar is shown in Fig. 4-11:

Fig. 4-11
From left to right:
(1) Interface switching button: The name of the current interface is displayed on the button.
When the button is pressed, the display interface of the monitor and the interface name
on the button will be switched accordingly.
(2) Alarm tone: Adjust the alarm volume of the monitor at the time of alarm. Ten levels are
available. After entering the volume adjustment interface (as shown in Fig. 4-12), you can
see three buttons, which from left to right are: lower alarm volume, increase alarm
volume, and exit setting window;

Fig. 4- 12
(3) Lighteness: Adjust the brightness of the monitor display. Three levels are available. After
entering the brightness setting interface (as shown in Fig. 4-13), the method of adjusting
the brightness is similar to the volume adjustment. The three buttons from left to right
are: reduce display brightness, increase display brightness, and exit the settings window;

Fig. 4-13
16
(4) Beat sound: Adjust the volume of the pulse sound emitted by the monitor through
measurement. After entering the beat volume adjustment interface (as shown in Fig.
4-14), the method of adjusting the beat volume is similar to the volume adjustment. The
three buttons from left to right are: reduce the beat volume, increase the beat volume,
and exit settings window;

Fig. 4-14
(5) Patient info setting: Set information about the patient monitored by the monitor. After
entering the patient info setting interface (as shown in Fig. 4-15), use the knob to select
the information to be set, and press the knob to set the information. After pressing the
knob, the input button for input information will pop up;

Fig. 4-15
The information available for setup includes:
① Medical record number: Maximum length: 12, consisting of characters or numbers;
② Name: Maximum length: 12, consisting of characters or numbers;
③ Department: Maximum length: 12, consisting of characters or numbers;
④ Patient type: Adult or child;
⑤ Bed number: Optional range: 0~999;
⑥ Gender: Male or female;
⑦ Age: According to the patient type, the optional range is: adults 18~120 years;
children 2~17 years;
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 ⑧ Height: Optional range: 50~300cm;
⑨ Weight: Optional range: 10~200kg;
Some patient information needs to be entered with characters or numbers. The monitor
provides the corresponding input keyboard, as shown in Fig. 4-16:
The input keyboard of English uppercase letters is displayed. The rotary button can be
used to move the selection cursor. When the rotary button is pressed, the button at the
cursor position can be selected. The area indicated by the arrow in the figure will display
the information input by the user for preview; when the input is completed, click the

button [ ] to complete the input or modification of the selected patient information;

[ ] is the back button, which can delete the last entered character; [ ] is the space

button, which enters a space when being clicked; [ ] is the exit button. When this
button is clicked, the current input window will be exited, and the original information
will not be changed. You can switch the input keyboard to lowercase English, numeric and

Chinese Pinyin by clicking the [ ], [ ] and [ ].

Fig. 4-16
It should be noted that when the bed number in a certain patient info is modified and the
setting window is exited, a window for prompting [whether to save new patient info and
accepting a new patient] is displayed, that is, whether to create new patient file. If the
information other than the bed number is modified, when the setting window is exited,
the prompt message [The patient info has been modified. Whether to save?] will pop up,
that is, whether to save the modified patient file.
(6) History: You can view information such as test records and alarm records related to
monitoring. The history interface is shown in Fig. 4-17.

18
 Fig. 4-17
The contents that can be viewed in the history include: blood pressure list, trend chart,
trend list, alarm event, and waveform playback;
A) Blood pressure list:
Record the results of each NIBP measurement, including: record number, bed number,
systolic pressure, diastolic pressure, mean pressure, date and time of measurement; page

turning operation can be performed by pressing the [ ] and [ ] buttons,

which is convenient for viewing more measurement data; up to 12,000 measurement
data can be stored; as shown in Fig. 4-18.

Fig. 4-18
B) Trend chart:
Record each parameter value and display it as a trend chart. You can select the
parameters to view, including heart rate, body temperature, SPO2, respiration rate, S-T
parameters, blood pressure parameters, pulse rate and TD parameters. As shown in Fig.
4-19, the first curve corresponds to the parameter “HR”, the second curve corresponds to
the parameter “SpO2”, and the third curve corresponds to “RR”. You can rotate the knob
to select the button of the parameter name that needs to be replaced, and click the knob
to switch the displayed parameter.
The sampling interval of the trend chart includes 1 minute, 5 minutes, 10 minutes, 30
19
minutes, and 60 minutes, which can be switched by [ ]. The current sampling
interval will be displayed on the button. The monitor can save up to 720 hours of
measurement data; “Trend waveform area” shows the trend chart of each measurement
parameter, and the left scale shows the measurement data range.
“Move cursor” is used to query the measurement data of each point in the trend chart.
When displayed in the interface, it is a purple vertical line. Move the waveform with the

[ ] and [ ] buttons to and move the position of “Start cursor” with [ ]

and [ ].
The “Trend data area” shows the measurement data at the moment of “Move cursor”,
which is displayed in the “Trend data” box.

Trend
waveform
Trend
area
data area

Move
cursor

Fig. 4-19
C) Trend list:
Each parameter value is recorded and displayed in the form of a trend list, as shown in Fig.
4-20. The recorded parameters include: date and time, heart rate, SPO2, blood pressure
parameters, respiratory rate, pulse rate, ST parameters, body temperature and TD
parameters; the sampling interval of the trend list includes 1 minute, 5 minutes, 10

minutes, 30 minutes, and 60 minutes, which can be switched by [ ]. The current

sampling interval will be displayed on the button;
Turn page up/down with [ ] and [ ] buttons to view more record data;

Turn page left/right with [ ] and [ ] buttons to view more parameter data;
The monitor can store up to 720 hours of measurement data.

20
 Fig. 4-20
D) Alarm event:
The playback of alarm events is shown in Fig. 4-21. You can view the relevant vital signs of
the measured object and the cause of the alarm when the alarm is generated. The
parameter values of each record are displayed at the top of the alarm event window,
including: heart rate, SPO2, pulse rate, respiration, blood pressure, and body temperature;
below is the waveform data of lead II and lead I;

Use the [ ] and [ ] buttons to view the alarm events, and use the [ ] and

[ ] buttons to move the waveform;

The monitor can store up to 1000 alarm data;

Fig. 4-21
E) Waveform playback:
Play back the ECG waveform, as shown in Fig. 4-22. The waveform playback window
displays three ECG waveforms. From top to bottom, the first and second waveforms are
lead I ECG waveform and lead II ECG waveform, which are fixed and can’t be switched.
The third ECG waveform can be switched to display lead III, aVR, aVL, aVF, or V. Below the
third waveform is the waveform record corresponding to it. The record includes: the
21
 number of the bed being measured, and the start and end time of the recorded data.

Use the [ ] and [ ] buttons to select and view records, use the [ ] and

[ ] buttons to move the waveform; the monitor can store up to 720 waveform data.

Fig. 4-22

(7) Blood pressure mode:

It is used for quickly switching blood pressure measurement. When clicking the [Blood
pressure mode] button, the setting window shown in Fig. 4-23 will pop up; the options in
blood pressure mode include: Auto 1 min, Auto 2 min, Auto 5 min, Auto 10 min, Auto 15
min, Auto 20 min, Auto 30 min, Auto 1 H, Auto 2 H, and manual;

Fig. 4-23
(8) Main menu:
The main menu is the setting of a specific measurement parameter or system parameter,
including: ECG, SPO2, blood pressure, respiration, body temperature, and alarm settings,
as shown in Fig. 4-24:

22
 Fig. 4-24
3. Parameter area:
This area shows real-time measurements. Measurement parameters are displayed in a fixed
position. The text marked in the upper left corner of each parameter indicates the name of
the parameter.
The NIBP area shows systolic blood pressure and diastolic blood pressure, and mean pressure
is shown below the two. The top of the area shows patient (adult or child) and measurement
mode (cycle, manual or continuous).
The ECG area shows the heart rate value.
SPO2 area shows SPO2 value and pulse rate. There is a pulse column on the right side that
indicates the SPO2 signal intensity.
RESP shows the respiration rate.
TEMP1 and TEMP2 show the temperature value.
The above texts can be selected by rotating buttons to enter respective menu interfaces.
4. Status bar:
The status bar includes battery level indicator, charging indicator, sound status or sound pause
countdown.

① Alarm sound status: (The alarm sound is off, and the number 120 is the
remaining time (unit: second) when the alarm sound is off; when the time is zero, the
alarm sound will be turned on)

② Battery level: Indicates the current battery level when using battery power only.
Please pay attention to the remaining battery power of the monitor and charge it in
time to prevent the monitor from automatically shutting down.

③ When the monitor is connected to AC power, the charging symbol is displayed in

the upper right corner of the monitor, indicating that AC power is connected and the
internal power supply is being charged.
④ The current date and time is displayed in the upper right corner of the monitor. The
23
 format is year-month-day hour: minute: second. The date and time settings can be
modified in the date/time menu in the main menu.
5. Technical alarm display area:
Display all technical alarm information. When multiple alarms occur, each alarm is displayed
in turn. Technical alarms include: ECG electrode falling off, SpO2 probe falling off, etc.
6. Physiological alarm display area:
Display all physiological alarm information. When multiple alarms occur, each alarm is
displayed in turn.
7. Patient information area:
Display the bed number and type of the patient being monitored.
Large font layout
Display the ECG waveform of the key monitoring lead in large font interface with heart rate,
SPO2, blood pressure, respiration rate, and body temperature values amplified, as shown in
Fig. 4-2.

Waveform Parameter
area area

Fig. 4-2
Seven-lead ECG interface
Display the ECG waveforms of I, II, III, aVR, aVL, aVF, and V (chest lead) in the 7-lead interface,
with ECG waveform highlighted; as shown in Fig. 4-3.

Parameter
area
Waveform
area

Fig. 4-3

24
Oxygenation diagram interface
The interface with respiratory oxygenation diagram shows a graph consisting of heart rate,
SPO2, and respiration, as shown in Fig. 4-4. There are three curves in the respiratory
oxygenation diagram; the far left of each curve indicates the parameter source of the curve,
and the rightmost is the display range of the curve;

Fig. 4-4
Blood pressure list interface
The interface of the blood pressure list, as shown in Fig. 4-5, shows the records of systolic
blood pressure, diastolic blood pressure and mean pressure measured at different times
through the blood pressure list. The content of blood pressure list includes: SYS (systolic
pressure), DIA (diastolic pressure), MAP (mean pressure), PR (pulse rate), and TIME
(measurement time). This feature makes it easy to view diagnostic records.

Fig. 4-5 Interface of Blood Pressure List

4.2 Operation and Auxiliary Information
Network settings
The network setting is to set the IP address when the monitor is connected to the central unit.
The window of the network setting is shown in Fig. 4-6.
Steps to enter the menu: Shortcut button area -> Main menu -> Network settings.

25
 Fig. 4-6
Date and time
In the date/time menu, you can set the date and time displayed by the monitor. The
date/time menu is shown in Fig. 4-7. The options that can be set include: year, month, day,
hour, minute and date format; after setting, click [Set to modified date and time], and the
status bar in the upper right corner of the monitor interface will modify the time according to
the set information.
To enter the menu: Shortcut button bar -> Main menu (second page) -> Date and time;

Fig. 4-7
Custom color
In custom color menu, you can set the relevant parameters and the color of the waveform in
the display interface. The parameters that can be selected include: ECG, SPO2, blood pressure,
respiration, and body temperature; each parameter has 7 colors optional: green, light blue,
red, purple, yellow, white, and blue; once set, the color of each waveform or value associated
with the parameter will become the same as the selected color.
To enter the menu: Shortcut button bar -> Main menu (second page) -> Custom color
The custom color menu is shown in Fig. 4-8:

26
 Fig. 4-8
Other settings
Set the display language of the monitor: Simplified Chinese and English.
ECG grid: Set whether to show grid line in the ECG waveform area. When it is turned on, it will
display the grid background with the interval of 0.5cm in the ECG waveform area.
Demo mode: Entering the correct password to turn on the demo mode (password: 1122)
Key tone: Set the key tone of the monitor. If it is set to on, you can hear the key tone when
you press any key.
To enter the menu: Shortcut button bar -> Main menu (second page) -> Other settings;
The menu for other settings is shown in Fig. 4-9:

Fig. 4-9

27
System info
Display the software and hardware version currently in use.
To enter the menu: Shortcut button bar -> Main menu (second page) -> System info;
The menu of system information is shown in Fig. 4-10:

Fig. 4-10

28
 Chapter 5. Alarm
The alarm refers to the prompt made to medical staff through sound, light and other means
when the patient under monitoring has abnormal vital signs change or the monitor itself fails
to monitor the patient smoothly.
5.1 Alarm Type
According to the nature, the alarms can be divided into physiological alarm, technical alarm
and prompt information.
1. Physiological alarm
The physiological alarm is usually caused by a certain physiological parameter of the patient
exceeding the set upper and lower limits of the alarm or a physiological abnormality of the
patient. Physiological alarm information is displayed in the physiological alarm area.
2. Technical alarm
Technical alarms, also known as system error messages, are alarms that are triggered when a
certain monitoring function fails to function properly or the monitoring result is distorted due
to improper operation or system failure. Technical alarm information is displayed in each
parameter display area.
3. Prompt information
Strictly speaking, the prompt information is not alarm. It means that in addition to the
physiological alarm and the technical alarm, the monitor also displays some information
related to the system state, which generally does not involve the vital signs of the patient. The
prompt information is generally displayed in each parameter display area or information
prompt area.
5.2 Alarm Level
According to the severity, the physiological alarms can be divided into high level alarm,
medium level alarm and low level alarm; the technical alarms can be divided into medium
level alarm and low level alarm.
1. High level alarm
The patient is in a critical state and may be in danger of life and should be rescued
immediately.
2. Medium level alarm
The patient’s physiological signs are abnormal, appropriate measures or treatment should be
taken immediately.
3. Low level alarm
The patient’s physiological signs are abnormal and may require appropriate measures or
treatment.
The physiological alarms have been set before the monitor is shipped from the factory and
can’t be changed by the user.
5.3 Alarm Method
When an alarm occurs, the monitor will prompt the user with the following audible or visible
alarms:
■Flashing light
■Sound response
■Text prompt
Among them, the flashing light, sound response and text prompts distinguish the level of the
alarm in different ways.
29
5.3.1 Flashing Light
When a physiological alarm occurs, the alarm indicator prompts different levels of alarms with
flashing in different colors.
■High level alarm: Red, flashing.
■Medium level alarm: Yellow, flashing.
■Low level alarm: Yellow, normally on.
5.3.2 Sound Response
The sound response means that the monitor uses different sound characteristics to alert
different levels of alarms when an alarm occurs.
■High level alarm: Short three beeps and two beeps
■Medium level alarm: Three slow beeps
■Low level alarm: One beep

Caution: When multiple alarms of different levels occur at the same time, the monitor
will visually and audibly alert in the highest level of all current alarms.
5.3.3 Text Prompt
The system uses different character colors to distinguish the level of physiological alarms:
■High level alarm: Red
■Medium level alarm: Yellow
■Low level alarm: Yellow
When a physiological parameter of the patient has alarm, the parameter in the parameter
area flashes at a frequency of once per second.
5.3.4 Alarm Status Icon
In addition to the above alarm methods, the following alarm icons will appear on the screen
to indicate the different status of the alarm.
Table 5-1
Icon Description

All sounds off

Alarm mute countdown

5.4 Setting Alarm Volume

Fig. 5-1 Alarm Volume Settings

Menu position: Shortcut button area —> Alarm tone;

The “ ” button is used to lower the alarm volume and the “ ” button is
used to increase the alarm volume.

Warning:
30
1. When the sound is turned off, the monitor will emit a sound when a new alarm is
triggered. Therefore, you must carefully choose whether to turn off the sound.
2. Do not rely on the audible alarm system to monitor the patient. If the volume is set too
small, the patient’s risk may be ignored. The actual clinical condition of the patient should
be closely monitored.
5.5 Setting Parameter Alarm
5.5.1 Setting Alarm Level

Fig. 5-2 Alarm Level Settings

Menu position: Shortcut button area —> Main menu —> Alarm settings
The ECG electrode off, the blood oxygen probe off, and the body temperature probe off. The
optional values are: low alarm, medium alarm, do not shut down.
5.5.2 Setting Alarm Limit (ECG as example)

Fig. 5-3 ECG Related Alarm Limit Settings

Menu position: Shortcut button area —> Main menu —> ECG
31
5.5.3 Alarm Log
The alarm log is displayed as an alarm event on this monitor and up to 1000 alarm messages
can be stored. When the messages exceed 1000, the earlier messages are automatically
overwritten. The alarm list is not saved when the monitor is shut down or the system power is
cut off.

Fig. 5-4 List of Alarm Events

5.6 Sound Pause
Press “SILENCE” to temporarily turn off all sound prompts from the monitor:
■ All alarm sounds are suspended, but light and text alarm messages are still displayed.Icon

reference:
■ The generated alarm parameters will remain flashing.

■ The countdown icon will be displayed in the sound icon area.

5.7 Latched Alarm
This monitor uses non-latched alarm.
5.8 Alarm Response Measures
When the monitor has an alarm, please refer to the following steps to take the appropriate
action:
1. Check the condition of the patient.
2. Confirm the parameter being alarmed or alarm type.
3. Identify the cause of the alarm.
4. Remove the cause of the alarm.
5. Check if the alarm is eliminated.
For details on how to handle each alarm, see Chapter 15 Alarm Information.

Caution: 1. Do not turn off the alarm for the parameters that need to be alarmed
during use.
2. When the power is off, the alarm settings before power loss can be automatically
restored.

32
 Warning: 1. It is forbidden to turn off the alarm sound of ECG, respiration and blood
pressure unless the medical staff ensures that the parameters measured by the monitor can
be observed at any time.
2. There are potential hazards associated with using different alarm presets for the same or
similar devices used in any separate area, such as intensive care units or cardiac operating
rooms. The operator must confirm whether the alarm preset meets the current use
situation!
5.9 Verification of Alarm System
When the alarm system is suspected to be invalid, the equipment can no longer be used.
Contact the maintenance engineer immediately. The effectiveness of the alarm system must
be checked by a professional maintenance engineer.

33
 Chapter 6. ECG/Respiration
6.1 Overview
The electrocardiogram (ECG) measures the electrical activity of the heart and displays the ECG
waveform and parameter values on the screen.
The ECG module and the connecting wires have anti-defibrillator discharge effect.

ECG cable interface

Respiratory measurements use the thoracic impedance method to measure the impedance
change between two ECG electrodes on the patient’s chest and display the Resp waveform on
the screen. The monitor calculates the respiration rate (PR) based on the waveform period.

6.2 Safety Information

Warning:
 Be sure to use the ECG lead wire and ECG electrode specified by the company.
 ECG electrodes are disposable items that are only used for one patient at a time.
 It is strictly forbidden to use electrode sheets of different metal materials, or else it may
cause over-polarization or accelerated polarization to the electrodes.
 The ECG lead wire socket is only used to connect ECG wires. Do not connect with other
signal sources. Pay attention to the color marking of the ECG lead wire.
 When placing the electrode or connecting the ECG lead wire, make sure that it does not
touch other conductive parts or ground. In particular, ensure that all ECG electrodes are
attached to the patient.
 Regularly check the skin where the electrode is placed. If there is any indication of
allergies, replace the electrode or change the placement position.
 When defibrillation is required for the patient, do not use non-defibrillation ECG lead wire.
When the patient respiration is monitored, do not use anti-ESU type ECG lead wire.
 With the correct electrode and the electrode placed according to the manufacturer’s
instructions, the display will return to normal display within 10 seconds after
defibrillation.
 This monitor cannot be used simultaneously with high-frequency electrosurgical
equipment when measuring ECG.
34
 Interference from ungrounded instruments near the patient and ESU interference may
cause distortion of the ECG waveform.
 The transient effect of the grid power isolation monitor may be similar to the actual ECG
waveform, thus suppressing the SPO2 alarm. The ECG lead wire must not be entangled
with the power cord or other cables.
 The waveform can return to normal display within 5s after defibrillation.
6.3 Publication of ECG Performance Parameters
6.3.1 Respiration, Lead-off Detection and Active Noise Suppression
This monitor has no current applied to the patient.
6.3.2 Response Time to Heart Rate Changes
When heart rate is increased from 80bpm to 120bpm or reduced from 80bpm to 40bpm, the
maximum response time (including device refresh time) required by the monitor to indicate
new heart rate is less than 10s.
6.3.3 Start Time of Tachycardia Alarm
When the upper limit of the alarm is set to 100bpm and the lower limit is 60bpm, the alarm
should be started within no longer than 10s if the SPO2 is changed from 80bpm to 120bpm.
6.3.4 Suppression of Pacing Pulse Detector on Fast ECG Signals
When the pacemaker switch is turned on, the pacing pulse detector suppresses the fast ECG
signal at a minimum input slew rate of 1 V/s RTI.
The ECG pacing test must be turned on and the pacing signal can’t be detected when turned
off.
6.3.5 High T wave suppression ability
+1.0mV.
6.3.6 Effective time base and screen aspect ratio.
The height/width ratio of the monitor screen is not adjustable, the aspect ratio
is 4:3, and the screen pixels are: 800×600.
The time base adjustable range is: 6.25mm/s, 12.5mm/s, 25.0mm/s, 50mm/s.
6.4 Measuring ECG
The monitor generates a continuous waveform and heart rate of the patient’s ECG activity to
accurately assess the current physiological state of the patient. In order to get the correct
measurement data, sufficient precautions must be given.
6.4.1 Precautions
The quality of the ECG signal depends on the signal acquired from the electrode sheets. In
order to obtain a reliable signal, the skin must be cleaned before the electrode sheets are
attached. It is recommended to:
Scrape the hair in the position to attach the electrode.
Gently scrub to remove the stratum corneum.
Wash your skin with alcohol or nourishing soap.
Wait until the skin is completely dry and then stick the electrode sheet.
6.4.2 Lead Wire and Electrode Sheet Precautions
Pay attention to the following points when setting up ECG/respiration monitoring:
Check the wires and cables for wear or breakage and replace if necessary;
First connect the lead wire to the electrode sheet, and then attach the electrode sheet to the
patient as shown in the figure below;
(1) Attach the electrode to the cleaned skin. The positions where the sheets are attached are
as follows: RA(R), LA(L), RL(N), LL(F)and V(C).
35
(2) Connect the ECG lead wire to the electrode and monitor. Make sure the lead wire is placed
in the correct position. The part of ECG lead wire connecting to patient should be colored and
coded as specified. Please refer to the following table:
ECG 5-lead Electrode Identification
Electrode marking Position Color
RA(R) First intercostal space of the midline of the White(Red)
clavicle on the right sternum
LA(L) First intercostal space of the midline of the Black(Yellow)
clavicle on the left sternum
RL(N) Right clavicle midline rib Green(Black)
LL(F) Left clavicle midline rib Red(Green)
V(C) Fourth intercostals space on the left sternal Brown(White)
border
(3) Insert the ECG cable into the ECG jack on the side panel of the monitor.
(4) Make sure that the 5 lead marks are correct.
(5) Adjust the ECG settings when necessary; Refer to section 6.5 ECG Parameter Settings for
the setting method.
The parameters to be set for ECG measurement are: Scan speed of waveform, ECG gain,
monitoring mode, etc.

The mark beside ECG socket indicates that the input signal is highly insulated and
protected from defibrillation, which guarantees the patient safety and avoids damage to the
monitor during defibrillation and electrosurgery.
6.4.3 Mounting the Electrodes
Five lead electrode installation:
The electrodes are mainly applied in four locations:
First intercostal space of the midline of the clavicle on the right sternum RA(R)
First intercostal space of the midline of the clavicle on the left sternum LA(L)
Right clavicle midline rib RL(N)
Left clavicle midline rib LL(F)
36
 Conventional ECG Lead Position
Lead I II III aVR aVL aVF
Positive electrode
LA(L) LL(F) LL(F) RA (R) LA(L) LL(F)
Negative electrode
RA(R) RA(R) LA(L) LA(L)+LL(F) RA(R)+LL(F) RA(R)+LA(L)
V(C) lead is the chest lead, the fourth intercostal space on the left sternal border
Installing electrodes for surgical patients
When installing electrodes for surgical patients, the type of surgery performed should be
considered. For example, for thoracotomy, the chest electrode can be placed on the side or
back of the chest. In addition, when using a surgical electrosurgical device, in order to reduce
the influence of artifacts on the ECG waveform, the electrodes can be placed on the left and
right shoulders, close to the left and right sides of the abdomen, and the chest lead can be
placed on the left side of the chest. Avoid placing the electrode on the upper arm or the ECG
waveform will become very small.

Warning:
 When using electrosurgical unit (ESU), place the ECG electrode in the middle between the
ESU ground plate and the electrosurgical blade to avoid burns, and the ESU cable can’t be
entangled with the ECG cable.
 When using electrosurgical unit (ESU), do not place the electrodes on the grounding plate
close to the ESU, or else there will be a lot of interference on the ECG signal.
6.4.4 Checking Pacing Status
It is very important to correctly set the patient’s pacing state before starting ECG monitoring.

When [Pacing] is [On], the icon is displayed. When the system detects a pacing signal, the
“I” symbol will be marked above the ECG waveform.
This setting will open [Main Menu]; enter [ECG] and set [Pacing] to [On] or [Off].

Warning:
 For pacing patients, [Pacing] must be set to [On], or else the pacing pulse will be treated
as a regular QRS complex, and when the ECG signal is too weak, the system can’t detect
and alarm.
 For non-pacing patients, [Pacing] must be set to [Off], or else the system can’t detect
arrhythmia related to ventricular premature beats.
6.4.5 Indication of Abnormal Working Status of ECG Monitoring Equipment
When the monitor is not in normal operation due to signal overload or any part of the
amplifier saturated, the monitor ECG waveform channel will prompt “signal saturation”.

Warning:
When the message “signal saturation” is prompted, the monitor ECG function is in an inactive
state.
6.4.6 ECG Display
The following figure shows the ECG monitoring interface. It is for reference only. The graphics
displayed on your monitor may be slightly different.

37
 HR value

ECG
waveform

Fig. 6- 1 ECG Display

6.5 Setting ECG
To enter the ECG menu: Shortcut button bar -> Main menu -> ECG

Fig. 6- 2 ECG Menu Settings

Monitoring object: Adult Monitoring object: Child

Parameter name Range Parameter name Range
HR alarm upper 1~300 HR alarm upper 1~300
limit limit
HR alarm lower 0~299 HR alarm lower 0~299
limit limit

HR alarm upper/lower limit: The upper or lower limit values of the HR alarm. When the heart
rate of the measured object is higher than the upper limit or lower than the lower limit of the
HR alarm, the alarm will be started; The minimum value of the HR alarm upper limit can’t be
lower than the lower limit of the current HR alarm, and the maximum value of the HR alarm
lower limit can’t be higher than the upper limit of the current HR alarm;
Gain: Adjust the height of the ECG waveform display according to the gain setting. The gain
value of the current ECG waveform is displayed above the first ECG waveform on the display
interface. Options: ×1/4, ×1/2, ×1, ×2, ×4.
Working mode: Select the ECG filtering status. Options: Monitor, surgery, expand.
Power frequency notch: 50Hz, 60Hz, off. After the ECG simulator inputs the 50Hz or 60Hz
power frequency ECG signal, set the notch to 50Hz or 60Hz. The ECG waveform displayed on
the screen should be smooth with no obvious burrs; when the notch is set to OFF, it means
38
that the power frequency interference signal is not filtered.
Waveform speed: Set the waveform speed. Adjust the wave distance of the waveform
according to the speed setting, and display the speed of the wave above the first ECG
waveform on the display interface. The options for waveform speed: 6.25mm/s, 12.5mm/s,
25mm/s, 50mm/s.
Pacemaker: Turn the pacemaker detection on/off. When the function is turned on, the

pacemaker marker “ ” is displayed in the upper left corner of the display interface,
indicating that pacing detection is turned on. If the ECG waveform is superimposed with a
pacing signal, the position of the pacing signal on the ECG waveform will display a purple
vertical line to indicate that this is a pacing signal. By default, pacemaker detection is turned
off.
The suppression ability of pacemaker pulse includes the suppression of pacemaker pulse
without overshoot and the suppression of pacemaker pulse with overshoot.
The suppression ability range of pacemaker pulse without overshoot: ±2mV to ±700mV, 0.1ms
to 2.0ms width, overshoot less than 0.05ap [Fig. 5a], stabilization time less than 5μs. The
start, rise and fall time of the pulse did not exceed 100μs; The initial time of the pulse is
40ms or less before the initial time of QRS. The above pacing pulse is preceded by an identical
pulse with a time lead of 150ms to 250ms.
The overshoot (charge) time constant is between 4ms and 100ms, and the other parameters
are the same as the pacing pulse suppression capability above. The overshoot is defined by
Method A, which should be in the range of 0.025ap to 0.25ap, independent of the choice of
time constant, but not greater than 2mv.
When the pacing pulse signal is greater than 1mV, 2ms or 2mV, 1ms, the pacing pulse detector
can work normally.

Waveform polar: Option: Yes/No.

Polar channel: Option: I, II, III, aVR, aVL, aVF, V.
1mV calibration: The output of the calibration ECG module is 10mm/mV. When 1mV
calibration is turned on, the module internally outputs a standard model of 10mm/mV. The
actual measurement error is ±10%; when 1mV calibration is turned off, the actual
measurement error is ±10% when 1mV signal is input from the outside. Compare the two
measurement results and determine the impedance in the module and the lead according to
the difference. By default, 1mV calibration is off.
Description of working mode:
Monitor: Use under normal measurement conditions.
Expand: Use when an enlarged waveform is required. At this moment, the unfiltered ECG
waveform is displayed, and you can see the changes in the waveform, such as the notch of the
R wave, the discrete rise or depression of the ST segment.
Surgery: Use when the signal is subject to high or low frequency interference. High frequency
interference usually causes high amplitude spikes that cause the ECG signal to appear irregular.
39
Low frequency interference usually causes the baseline to drift or become thicker. In the
operating room, the choice of “Surgery” approach can reduce artifacts and interference from
electrosurgical equipment. In normal measurement situations, selecting this method may
suppress the QRS complex and cause ECG analysis to be disturbed.

Caution: The “Monitor” or “Surgery” mode will cause some distortion of the ECG
waveform. The “Surgery” mode may affect the results of the VPC analysis. Therefore, it is
recommended to monitor the patient in an “expand” mode when the interference is small.
Average heart rate:
Normally, the heart rate is calculated by averaging the 12 most recent RR intervals.
For consecutive PVC, take up to 8 RR intervals to average the heart rate at most.
If each of the three consecutive RR intervals is greater than 1200 ms (which means that the
heart rate is below 50 bpm), then the most recent four RR intervals are averaged to calculate
the heart rate.
Heart rate calculate accuracy and response to arrhythmia:
Ventricular dual law: 80bpm; slow interaction ventricular dual law: 60bpm; fast interaction.
ventricular dual law: 120bpm; bidirectional systolic pressure: 90bpm.
6.6 Measuring Respiration
6.6.1 Principle of Respiration Measurement
The monitor measures the respiration from the value of the thoracic impedance between the
two electrodes, and the impedance change between the two electrodes (due to the activity of
the thorax) results in a waveform of the respiration.
There is no need for additional electrodes for respiration monitoring, and the same RA(R) and
LA(L) electrodes for ECG monitoring are used.
For the operation method of the respiration monitoring setting parameters, please refer to Fig.
6-4.
Caution: Respiration monitoring isn’t recommended for patients with a high degree of
monitoring activity, as this may result in calculation error.
6.6.2 RESP Display

RESP RESP value

waveform

Fig. 6- 3 RESP Display

6.6.3 Respiration Parameter Setting Menu
To enter the Respiration menu: Shortcut menu bar -> Main menu -> Respiration

40
 Fig. 6- 4 Respiration Parameter Settings

Monitoring object: Adult Monitoring object: Child

Parameter name Range Parameter name Range
Respiration rate 1~150 Respiration rate 1~150
alarm upper limit alarm upper limit
Respiration rate 0~149 Respiration rate 0~149
alarm lower limit alarm lower limit

Respiration rate alarm upper/lower limits: The upper or lower limit of the respiration rate
alarm. When the respiration rate of the measured object is higher than the upper limit or
lower than the lower limit of the respiration rate alarm, the alarm will be started; The
minimum value of the upper limit of the respiration rate alarm can’t be lower than the lower
limit of the current respiration rate alarm, and the maximum value of the lower limit of the
respiration rate alarm can’t be higher than the upper limit of the current respiration rate
alarm;
Suffocation time: Range 5~80s; select the time for the sound and light alarm after the
respiration stops, or choose to turn off the suffocation alarm.
Waveform speed: Select the respiration waveform scan speed. Option: 6.25, 12.5, 25.0mm/s.
Respiration detection: Option: On, off.
6.7 ECG Monitoring Precautions
ECG monitoring relies on the continuous waveform of the patient’s ECG activity to accurately
assess the current physiological state of the patient. For this reason, a good connection of the
ECG cable should be ensured in order to obtain good expected results.
For patients with severe burns, electrodes may not be attached and special needle electrodes
are required.
The skin is a poor conductor, so the skin assessment of the patient is very important to get
good contact between the electrodes and the skin.
If a disposable electrode that meets industry standards and has not expired is used, generally
no special handling is required. If the signal quality is poor, the electrode should be placed in
the soft part of the muscle as much as possible. When placing it, first wipe off the oily sweat
on the skin with alcohol. If necessary, wear off the keratinized layer on the patient’s skin, wipe
it off with alcohol, and attach the electrode.
41
Check the skin irritation caused by the ECG electrode every day. When any signs of
inflammation appear, replace the electrode and reposition it every 24 hours or less.
When performing electrosurgery, the ECG mode of the monitor ECG module should be set to
the surgery mode. Place the electrode on the circumference centered on the operating area
and twist the ECG lead wires as much as possible. The monitor should be farther away from
the operating bed. The power cable and the ECG lead cable should be separated as far as
possible, and the direction should not be parallel.
The cable of the electrosurgical device can’t be entangled with the ECG cable.
Note: When connecting the electrode or patient cable, make sure that it is not in
contact with any other conductive parts or ground. In particular, make sure that all ECG
electrodes, including neutral electrodes, are attached to the patient to prevent them from
coming into contact with conductive parts or ground.
Warning: For patients with pacemakers, the heart rate monitor may count the
pacemaker pulse during cardiac arrest or arrhythmia. Do not rely solely on the heart rate
monitor at this moment.
Warning: Overload of the electrosurgical device will damage this instrument.

Precautions:
1. What is the danger of using it with a pacemaker?
When the monitor is used with a pacemaker, the pulse of the pacemaker is mistaken for the
QRS wave by the monitor, and some pacemakers may cause inaccurate respiration impedance,
which may cause artifacts, result in false respiration detection and affect the diagnosis of
medical staff. The medical staff should closely monitor patients who use pacemakers and
make correct diagnosis in a timely manner.
2. What are the circumstances that the monitor may have misdetection?
When the monitor is used in the same patient as the pacemaker or other electrical generator,
or the patient has an arrhythmia, it may cause the monitor to be misdetected, and the
monitor may still have ECG signals when the patient is dead. The medical staff should closely
monitor the patient and make a correct diagnosis in a timely manner.

42
 Chapter 7. SPO2
7.1 Measuring SPO2 Saturation
7.1.1 Measurement Content
SPO2 refers to the measurement of arterial oxygen saturation, which is the percentage of
oxyhemoglobin to the total number of hemoglobin. The value of SPO2 shows the percentage
of oxygen-carrying hemoglobin molecules that form oxyhemoglobin. The SPO2
plethysmographic parameters also provide pulse rate signals and plethysmographic
waveforms.

SPO2 probe
interface

7.1.2 SPO2 Display

Pulse (pulse rate)

SPO2 value

SPO2 waveform

Fig. 7-1 SPO2 Display

7.1.3 Measurement Principle
Oxygen saturation is measured by pulsating oximetry. This is a continuous, non-invasive
method for measuring hemoglobin oxygen saturation. It measures how much light emitted
from one side of the sensor source passes through the patient’s tissue to the receiver on the
43
other side. The amount of light that passes through depends on a number of factors, most of
which are constant. However, one of these factors is that arterial blood flow changes over
time. By measuring the light absorbed during the pulsation, it is possible to obtain the oxygen
saturation of the arterial blood. The detection of the pulsation itself gives a
“plethysmographic” waveform and pulse rate signal.
7.1.4 Limitations of Measurement
1. Arterial blood flow may be reduced to levels that can’t be measured under the following
conditions:
*Shock
*Low temperature
* Vasoactive drugs applied
*Anemia
2. Measurement also depends on the absorption of light at specific wavelengths by
oxyhemoglobin and reduced hemoglobin. If other substances that absorb the same
wavelength exist, they will cause a false SPO2 value to be measured.
For example:
When carboxyhemoglobin >3%, SPO2 determination may be high; when bilirubin >200mg/L,
SPO2 determination may be low; when methemoglobin >5%, SPO2 may be fixed at 85%; in
addition, if there is dye (such as methylene blue, indigo carmine and fluorescein, etc.) in the
blood, the SPO2 value may be greatly reduced.
3. The strong light of surrounding environment will also affect the measurement. Covering the
sensor with a suitable opaque substance improves the quality of the measurement.
7.2 Safety Information
Warning:
Use only the SPO2 sensor specified by our company. It is the responsibility of the operator to
check the compatibility of the SPO2 probe and the cable with the monitor before use.
Incompatible accessories may cause degradation of the instrument performance.
When the patient has a tendency to lack oxygen, a blood gas analyzer should be used to
analyze the blood sample to properly comprehend the patient’s condition.
Avoid using the monitor and blood oxygen sensor when using MRI equipment, as induced
currents can cause severe burns to patients.
7.3 Publication of SPO2 Performance
7.3.1 Emitted Light Power Statement of SPO2 Probe
Probe peak wavelength: Red light 660nm, infrared light 880nm, maximum light output power
≤150mW.
Low power light in this wavelength range is safe for the human body.
7.3.2 SPO2 Compliance Statement of the Monitor
The SPO2 accuracy of this monitor complies with the requirements of IEC 80601-2-61.
7.3.3 Approved SPO2 Probe and SPO2 Probe Extension Cable
The SPO2 probes and cables used with this monitor must comply with the requirements of the
IEC 80601-2-61 standard.
The recommended blood oxygen probe models are: S200A, T200A.
7.3.4 Maximum Use Time of SPO2 Probe in Single Position
For continuous long-term monitoring of the patient, check the position where the SPO2 probe
attached every 2 hours (the continuous monitoring on the same position should not exceed 4
hours), and move appropriately when the skin changes. Check the measurement points
44
regularly during use to ensure that the patient’s skin at the measurement position is not
injured. Some patients may require more frequent examinations, such as patients with
perfusion disorder or skin sensitivity, because prolonged monitoring can increase
unpredictable skin changes such as skin irritation, redness, blistering or oppressive necrosis.
7.3.5 Known Interferences that Affect the Function and Accuracy of Pulse SPO2
Measurement
Interference can be caused by excessive ambient light, electromagnetic interference,
excessive or enormous patient movement, low filtration testing, weak perfusion,
electrosurgical unit, diseased hemoglobin, presence of certain dyes, and improper wearing
position of pulse SPO2 probe.
7.3.6 SPO2 Measurement Function Statement
The verification of the SPO2 accuracy is obtained by a clinical test in invasive contrast with the
blood gas analyzer.
7.3.7 Characteristics of Clinical Research Population
a) Adult males or females between the ages of 18 and 45;
b) No history of smoking / smoking addiction;
c) No history of cardiopulmonary disease;
d) Volunteers have the capacity to act autonomously, agree to participate in the test, and
sign an informed consent form;
e) Volunteers must be in a good mood when participating in clinical validation;
f) Blood pressure values of volunteers: Systolic pressure 90-140mmHg, diastolic pressure
60-90mmHg;
g) SPO2 value of volunteers: 60-100 bpm;
h) First arterial blood gas analysis of volunteers under breathing air:
SaO2 > 95%;
COHb < 3%, MetHb < 2%, ctHb > 10g/dl;
i) Good compliance and able to cooperate to complete the entire test.
j) The samples should meet the expected requirements of the clinical test:
Subjects should include both men and women;
Adult volunteers should be able to withstand the minimum risk of a controlled blood
oxygenation test in the agreement.
7.3.8 Description of the Material of SPO2 Probe in Contact with Patients
The material of the SPO2 probe used in this monitor in contact with the patient meets the
following standards:
ISO 10993-5:2009 Biological evaluation of medical devices-Part5: Tests for invitro cytotoxicity
ISO 10993-10:2010 Biological evaluation of medical devices-Part10: Tests for irritation and
skin sensitization
7.3.9 Specific Instructions for Use of SPO2 Probe
Applicable people and application parts:
Adult, older than 12 years, on fingers
Children, 29 days to 12 years, on fingers or toes
7.3.10 Description after Power off and Restart
When the device switch is turned to “ON”, the grid power supply is interrupted and restored
after more than 30 seconds, the SPO2 function will automatically restore the state before the
power on.

45
7.4 Use of Common SPO2 Probes

Fig.1 Fig.2 Fig.3

Finger clip probe

Fig.4 Fig.5 Fig.6

Finger binding probe

Fig.7 Fig.8 Fig.9

Finger cot probe

Toe-adhesive probe
Note: Do not clamp the sensor housing of the probe with a clip. If the probe sensor needs to
be fixed, fix the cable next to the probe.
7.5 SPO2 Parameter Setting Menu
To enter the SPO2 menu: Shortcut menu bar -> Main menu -> SPO2

Fig. 7-2 SPO2 Parameter Settings

46
 Monitoring object: Adult Monitoring object: Child
Parameter name Range Parameter name Range
SPO2 alarm upper limit 86~100 SPO2 alarm upper limit 86~100
SPO2 alarm lower limit 85~99 SPO2 alarm lower limit 85~99
Pulse rate alarm upper limit 21~300 Pulse rate alarm upper limit 21~300
Pulse rate alarm lower limit 20~299 Pulse rate alarm lower limit 20~299
The minimum value of the upper limit of each parameter alarm mustn’t be lower than the
current lower limit of the alarm, and the maximum value of the lower limit of each
parameter alarm mustn’t be higher than the current upper limit of the alarm;
SPO2 alarm upper/lower limit: The upper or lower limit values of the SPO2 alarm. When the
SPO2 of the measured object is higher than the upper limit or lower than the lower limit of
the SPO2 alarm, the alarm will be started;
Pulse rate alarm upper/lower limit: The upper or lower limit values of the pulse rate alarm.
When the pulse rate of the measured object is higher than the upper limit or lower than
the lower limit of the pulse rate alarm, the alarm will be started;
Waveform fill: When the waveform fill is turned on, the SPO2 waveform displayed on the
interface becomes filled. The effect after turning on is shown in Fig. 7-3:

Waveform
fill

Fig. 7-3
7.6 Precautions for SPO2 Measurement
When measure blood pressure and SPO2 at the same time, do not place the SPO2 probe and
the blood pressure cuff on the same extremity, because blood pressure will block the blood
flow and affect the SPO2 measurement.
When the blood oxygen signal is out of the measurement range, an alarm [low blood oxygen
signal] is generated.
When the blood oxygen probe fault, the alarm of the blood oxygen probe off or fault will be
prompted.
7.7 Incompleteness of SPO2 Signal
This monitor uses a normalized waveform, which does not meet the requirements of IEC
80601-2-61.
7.8 The functional tester cannot be used to evaluate the accuracy of the pulse oximetry
probe and pulse oximetry monitor.

47
 Chapter 8. Non-invasive Blood Pressure
8.1 Overview
This monitor measures non-invasive blood pressure (NIBP) using the oscillation method,
which is suitable for adults and children.
To understand how the oscillation method works, you can compare it to auscultation method.
Auscultation: The doctor listens to blood pressure through a stethoscope and obtains systolic
and diastolic blood pressure. As long as the arterial pressure curve is normal, the mean
pressure can be calculated from systolic and diastolic blood pressure.
Oscillation: The monitor can’t listen to blood pressure; it measures the amplitude of the cuff
pressure vibration. The change in blood pressure causes the cuff to vibrate. The cuff pressure
when the amplitude is the maximum is the mean pressure. After the mean pressure is
measured, the diastolic pressure and the systolic blood pressure can be calculated.
Briefly, the auscultation method measures systolic and diastolic blood pressure and calculates
the mean pressure. The oscillation method measures the mean pressure and calculates the
systolic pressure and the diastolic pressure.
NIBP measurements can be applied during electrosurgery and defibrillator discharge
according to IEC 80601-2-30.
8.2 Measuring Non-invasive Blood Pressure
Measurement targets: adults, children;
Measurement method: Manual, cycle.
Manual: Take one measurement only.
Cycle: Automatically measure at set intervals.

Blood pressure
cuff interface

Measuremen
8.3 Non-invasive Blood Pressure Display Information t method

Unit Measurement
time
Diastolic
Systolic
pressure
pressure

Mean
Pulse
pressure
rate
48
 Fig. 8- 1 NIBP Display
Measurement of non-invasive blood pressure can obtain the blood pressure (systolic, diastoli
and mean) and pulse rate.
8.4 Safety Information
Warning:
The patient type must be confirmed before measurement. Incorrect settings can jeopardize
patient safety because higher adult settings are not applicable to children.
NIBP should not be measured in patients with sickle cell disease, who have developed or
are expected to have skin damage.
For patients with severe emboli disease, it is necessary to decide whether to perform an
automatic blood pressure measurement based on the clinical situation, because the cuff is
attached to the limb and tissue damage may be caused around the catheter when the
infusion slows down or blocks up during inflation of the cuff.
If you have doubts about the accuracy of the measurement, first check the patient’s vital
signs with other methods, and then check if the monitor is functioning properly.
If the time of the cycle measurement is set too long and the balloon is over-inflated, the
limb rubbing against the cuff may be accompanied by cyanosis, ischemia, and nerve injury.
When monitoring a patient, check the color, warmth and sensitivity of the distal part of the
limb regularly. Once you have observed any abnormalities, place the cuff in another
location or stop measuring immediately.
For patients with severe coagulopathy, it is necessary to determine whether continuous
blood pressure is measured based on clinical evaluation, because there is a risk of
hematoma due to friction between the limb and the cuff.
The air pipe of blood pressure cuff must be kept smooth and not bendable or squeezed to
block the pressure transmission, or else the blood circulation of the tissue may be blocked.
Repeated use of short-term automatic measurement mode can cause tissue blood
circulation to be blocked, so please observe the color of the distal part of the limb.
8.5 Measurement Limits
Depending on the patient’s condition, there are certain limitations in the measurement of the
oscillation method. This method is to look for regular arterial pressure pulsations. In the case
where the patient’s condition is difficult to use this method, the measured value becomes
unreliable and the time for measuring the pressure increases. The following conditions can
interfere with the measurement:
* Patient movement: If the patient is moving, shaking or convulsing, the measurement will be
unreliable or even impossible, as this may interfere with the detection of arterial pressure
pulsation and the measurement time will be prolonged.
* Cardiopulmonary machine: If the patient is connected with cardiopulmonary machine,
measurement will not be possible.
* Pressure change: If the arterial pressure pulsation is being analyzed to obtain a measured
value for a certain period of time, and the patient’s blood pressure changes rapidly at this
time, the measurement will be unreliable or even impossible.
* Severe shock: If the patient is in severe shock or hypothermia, the measurement will be
unreliable, as a decrease in blood flow to the periphery will result in a decrease in arterial
pulsation.
* Ultimate heart rate: Measurements can’t be made when the heart rate is below 40 bpm or
above 280 bpm.
*Patients with arrhythmia.
49
 Caution: About the cycle measurement mode: After setting the cycle measurement
mode, the blood pressure measurement should be started. It will enter the cycle
measurement mode only after the measurement is successful.
8.6 Measurement Range and Accuracy
Range:
Adult: Systolic pressure 30~260mmHg
Mean pressure 20~235mmHg
Diastolic pressure 10~215mmHg
Child: Systolic pressure 40~220mmHg
Mean pressure 20~165mmHg
Diastolic pressure 10~150mmHg
Blood pressure accuracy: The error of blood pressure measurement is 8mmHg (1.07kPa)
8.7 Overvoltage Protection (Maximum Pressure Value)
Adult: 295mmHg
Child: 250mmHg
8.8 Blood Pressure Parameter Setting Menu
To enter the blood pressure menu: Shortcut button bar -> Main menu -> Blood pressure

Fig. 8- 2 Blood Pressure Parameter Setting

Monitoring object: Adult Monitoring object: Child
Parameter name Range Parameter name Range
Systolic pressure alarm upper
Systolic pressure alarm upper limit 1~300 1~300
limit
Systolic pressure alarm lower
Systolic pressure alarm lower limit 0~299 0~299
limit
Diastolic pressure alarm upper Diastolic pressure alarm upper
1~300 1~300
limit limit
Diastolic pressure alarm lower Diastolic pressure alarm lower
0~299 0~299
limit limit
Mean pressure alarm upper limit 1~300 Mean pressure alarm upper limit 1~300
Mean pressure alarm lower limit 0~299 Mean pressure alarm lower limit 0~299

50
 Initial pressure 120~280 Initial pressure 80~170
The unit of the above values is: mmHg
The minimum value of the upper limit of each parameter alarm mustn’t be lower than the
current lower limit of the alarm, and the maximum value of the lower limit of each parameter
alarm mustn’t be higher than the current upper limit of the alarm;
Measurement interval: You can select the interval for manual measurement or automatic
measurement; options: Manual, Auto 1 min, Auto 2 min, Auto 5 min, Auto 10 min, Auto 15
min, Auto 20 min, Auto 30 min, Auto 60 min , Auto 120 min.
Unit: Select display unit of blood pressure: mmHg, kPa.
Start calibration: After the module closes the air valve, it allows inflating manually. Compare
the real time cuff pressure with the pressure displayed by the blood pressure simulator (or
mercury sphygmomanometer) to determine whether the pressure sensor value of the current
module exceeds the nominal error range pressure value.
Start leak detection: After the leakage detection is clicked, the word “leakage detection” and
the pressure value of the inflation will be displayed at the lower left corner of the parameter
area of the blood pressure measurement; After the leakage detection is completed and the
pressure is stable, a 60s countdown is displayed; After the timer is over, the 60 second leakage
value will be displayed.
8.9 Approved Blood Pressure Cuff
The blood pressure cuff (including the extension tube) used with this monitor must meet the
ANSI/AAMI SP-10 standard.
8.10 Use of Blood Pressure Cuff
Please install the blood pressure cuff correctly as shown below:

Fig. 8- 3 Schematic Diagram of Using Blood Pressure Cuff

Choose the right cuff according to the patient’s arm size, as this has a large impact on blood
pressure measurement accuracy. The cuff width should be 40% of the upper circumference of
the arm or 2/3 of the upper length of the arm. The length of the inflated portion of the cuff
should be sufficient to wrap 50%~80% of the limb, and an unsuitable cuff can produce
erroneous readings.
For patients with too thin upper limbs (e.g., children) or those who have injury and can’t tie
cuff on the upper limbs, the cuff can be tied to the patient’s thigh.
The limb used for pressure measurement should be at the same level as the patient’s heart, or
else there will be deviation.
Make sure that the hose does not kink after coming out of the cuff.
8.11 NIBP Pressure Verification
The NIBP pressure verification should be performed at least every two years, or when you
think the reading is not accurate. If you can’t calibrate the NIBP, please contact a qualified
service technician.
51
Before verification, prepare the following materials:
T connector
Air duct
Precision mercury sphygmomanometer: Calibrated, accuracy higher than 1mmHg
Verification method: Connect one end of the T-connector to the monitor, and the other end to
the cuff, and connect the middle to the mercury sphygmomanometer.
After connecting, inflate by activating the blood pressure of the monitor, and compare the
reading of the monitor with the reading of the sphygmomanometer. The error should be
within the error range stated by the monitor specifications.

52
 Chapter 9. Body Temperature
9.1 Measuring Body Temperature
This monitor measures the temperature of the body surface (underarm, forehead, fingers and
toes) or body cavity (oral cavity, rectum and nasopharynx).
The body temperature probe of the monitor uses a high-precision thermistor. After the body
temperature probe is fully in contact with the patient and fixed, wait for about 3 minutes to
get the actual body temperature data of the patient.

TEMP probe
interface

9.2 Body Temperature Parameter Setting Menu

To enter the body temperature menu: Shortcut button bar -> Main menu -> Body temperature

Fig. 9- 1 Body Temperature Parameter Setting

53
 Monitoring object: Adult Monitoring object: Child
Parameter name Range Parameter name Range
Temp 1 alarm upper limit 0.1~49.0 Temp 1 alarm upper limit 0.1~49.0
Temp 1 alarm lower limit 0.0~48.9 Temp 1 alarm lower limit 0.0~48.9
Temp 2 alarm upper limit 0.1~49.0 Temp 2 alarm upper limit 0.1~49.0
Temp 2 alarm lower limit 0.0~48.9 Temp 2 alarm lower limit 0.0~48.9
Temperature difference 0.2~7.0 Temperature difference 0.2~7.0
alarm upper limit alarm upper limit
The unit of the above value is ℃

Unit: Select the body temperature display unit: “°C” or “°F”.

9.3 Troubleshooting
When the temperature is not measured or the temperature value is seriously deviated,
replace the probe.
9.4 Temp Display

Fig. 9- 2 Body Temperature Display

T1 represents the temperature measured by the probe 1; T2 represents the temperature
measured by the probe 2. TD represents the temperature difference between T1 and T2.
9.5 Approved Body Temperature Probe
The temperature probe used with this monitor must comply with the requirements of IEC
80601-2-56.
9.6 Precautions
Handle the temperature probe and cable gently. When not in use, wind the probe and cable
into a loose ring shape.
Calibrate the temperature measurement at least every two years, either externally or
according to hospital procedures.

54
 Chapter 10. Invasive Blood Pressure (IBP)(Optional)
10.1 Overview
The invasive blood pressure measurement is mainly applied to pressure sensor by arterial or
venous blood pressure through liquid coupling, so as to obtain a continuous blood pressure
curve.

心电电缆接口
IBP interface

Fig. 10 - 1 IBP Interface

The display interface of IBP is as shown below:

IBP parameter
IBP waveform area
area

Fig. 10-2 IBP Display Interface

55
IBP settings interface:

(a) (b)

(c) (d)
Fig. 10 - 3 IBP Settings Interface
Related parameters:
1. IBP Zero: IBP must be zeroed every time after the sensor connected and then the
measurement can be made. After the zeroing is completed, the zeroing time will be
displayed on the option button;
2. IBP Revise: Revise the parameters of the sensor after zeroing; optional range: 80%~120%;
3. IBP Sensor: Set the type of sensor used for measurement; options: ABOT, BIOSENSOR;
4. IBP TAG: Select the part measured by IBP; options: P1, P2, ART, PA, CVP, RAP, LAP, ICP (see
below for explanation);
5. IBP Gain: The gain amplitude of the waveform measured by IBP. In auto mode, the upper
and lower limits of the IBP waveform can’t be adjusted; options: ×1, auto
6. IBP Wave Upper Limit: The upper limit displayed by IBP waveform; It can’t be adjusted
when the IBP gain is in auto mode. It can be adjusted only when the IBP gain is ×1.
Optional range: 120 ~320;
7. IBP Wave Lower Limit: The lower limit displayed by IBP waveform; similarly, it can’t be
adjusted when the IBP gain is in auto mode, and can only be adjusted when the IBP gain is
×1;
8. SYS Alarm High: Set the upper limit of the systolic pressure alarm measured by IBP;
9. SYS Alarm Low: Set the lower limit of the systolic pressure alarm measured by IBP;
56
10. DIA Alarm High: Set the upper limit of the diastolic pressure alarm measured by IBP;
11. DIA Alarm Low: Set the lower limit of the diastolic pressure alarm measured by IBP;
12. MAP Alarm High: Set the upper limit of the mean blood pressure alarm measured by IBP;
13. MAP Alarm Low: Set the lower limit of the mean blood pressure alarm measured by IBP;
14. Unit: Select the unit for the results of IBP measurement; Options: mmHg, kPa;
Optional range of related parameters (in mmHg):
Parameter name Optional range Parameter name Optional range
IBP1 Wave Upper Limit 120~300 SYS1 Alarm High 1~300
IBP1 Wave Lower Limit 0~80 SYS1 Alarm Low 0~299
IBP2 Wave Upper Limit 120~300 SYS2 Alarm High 1~300
IBP2 Wave Lower Limit 0~80 SYS2 Alarm Low 0~299

Parameter name Optional range Parameter name Optional range

MAP1 Alarm High 1~300 DIA1 Alarm High 1~300
MAP1 Alarm Low 0~299 DIA1 Alarm Low 0~299
MAP2 Alarm High 1~300 DIA2 Alarm High 1~300
MAP2 Alarm Low 0~299 DIA2 Alarm Low 0~299

10.2 How to connect the sensor to the monitor

10.3 Recommended sensor types

The invasive blood pressure sensor used with this monitor must comply with the
requirements of the IEC 60601-2-34 standard.
10.4 Setting the pressure measurement
1. Insert the pressure cable.
2. Prepare the rinse solution.
3. Rinse the system to remove all air from the piping and ensure that there are no air bubbles
in the sensor and valve.
4. Connect the pressure tube to the patient catheter.
5. If the pressure tube is used together with an infusion pressure cuff, replenish the fluid to be
infused into the pressure cuff. Inflate the cuff according to standard hospital regulations and
then start the injection.
6. Adjust the sensor position so that it is at the same level as the heart, about the same as the
midaxillary line.
57
 WARNING: If the patient is undergoing intracranial pressure measurements (ICP, IC1 or
IC2), level the sensor with the top of the patient’s ear. Incorrect levels will result in
erroneous measurements.
10.5 Select monitoring pressure
Inform the monitor which pressure is to be monitored by selecting the pressure tag name for
the monitoring. This tag name is a unique identifier for each type of pressure. Once the tag
name is selected, the monitor will use the storage settings for that tag name, such as color,
waveform scale, and alarm settings. The tag name also determines which algorithm is used to
process the pressure signal, so incorrect tag name will result in incorrect pressure values.
1. Select the tag name in the Setup <Pressure> menu.
2. Select the appropriate tag name from the list.
Tag name Description
ART Arterial blood pressure
PA Pulmonary artery pressure
CVP Central venous pressure
RAP Right atrial pressure
LAP Left atrial pressure
ICP Intracranial pressure
10.6 Expanded pressure tag name set
If the tag name group is set to be sufficient, the following additional tag names can be used as
well. This setting can only be changed in “Configuration Mode”.
Note: If the monitor is connected to an Information Center, the additional tag names in the
expanded tag name set may not display correctly.
Tag name Description
BAP Brachial artery pressure
FAP Femoral artery pressure
IC1、IC2 Alternative intracranial pressure
P1、P2 Alternative non-specific pressure tag
name

Precautions during IBP monitoring:

WARNING:
1. The parts used must meet the medical device safety requirements. When connecting or
using accessories, do not touch the metal parts that are connected to the appliance.
2. When the monitor is used with HF surgical equipment, do not allow the sensor and
cable to connect with the HF surgical equipment to prevent leakage current from
burning the patient.
3. Do not reuse disposable sensors.
4. The sensor has electric shock protection function (especially prevent leakage current)
and prevent the effects of cardiac defibrillator. It can be used for surgery. When the
patient is in defibrillation, the pressure wave may be temporarily disturbed, and the
monitor will work normally after defibrillation. The operating mode and user
configuration of the monitor will not be affected.
5. Check if the sensor cable is normal before monitoring. Unplug the sensor of channel 1
from the socket, the error message “IBP1 sensor is off” will appear on the screen and
58
 alarm sound. The same for other channels.
6. If liquid (not the solution used to prime the pressure tube and sensor) is spilled on the
device or accessory, especially if liquid is likely to enter into the sensor or monitor,
contact your hospital’s service department.
7. The sensor must be zeroed before measuring blood pressure.
8. Make sure to drain the air inside the catheter before zeroing.
9. During zeroing, the catheter mustn’t be connected to the patient, that is, the three-way
valve 2 should be closed.
10. During the measurement, the catheter should be flushed periodically with heparin
saline.

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 Chapter 11. Carbon Dioxide (CO2)(Optional)
11.1 Overview
Carbon dioxide is an optional item for the monitor that primarily detects end-tidal CO2 and
respiration rate (Resp Rate).
The measurement principle of CO2 is mainly based on the fact that CO2 molecules can absorb
infrared rays. The measurement method is that CO2 is sent to the measurement chamber in
the module through the airway system, and then the side of the cavity is irradiated with 4.26
um of infrared rays, and the degree of infrared attenuation received by the other side is
measured by the sensor.
The degree of attenuation of infrared rays is corresponding with the concentration of CO2. The
measured CO2 concentration can be converted to a partial pressure display at the same
temperature and pressure.
The relationship between the partial pressure of CO2 and the percentage of CO2 concentration
is as follows:
CO2 partial pressure (mmHg) = percentage of CO2 (%) × Pamp (ambient pressure mmHg) / 100;
CO2 partial pressure (kPa) = CO2 partial pressure (mmHg) / 7.5.
11.2 Operation

Positioning buckle

Buckle button
Figure 11-1 CO2 Module Diagram
At the back of the CO2 module, there are four positioning buckles and a buckle button;

Positioning card slot

Figure 11-2 CO2 Module Installation Diagram

When installing the CO2 module, first press and hold the buckle button, and align the
positioning buckle on the module with the positioning card slot at the installation position on
the monitor and install it according to the method shown in the above figure; (This CO2
module can be installed at any installation location of the monitor.)

60
 Figure 11-3 Diagram after the Completion of CO2 Module Installation
After the installation of the CO2 module, the waveform area and parameter area of the CO2
will be displayed on the interface (to replace the original respiratory waveform area and
respiratory parameter area).

Note:To remove the CO2 module, simply pull it out in the opposite direction of the
installation while pressing the buckle button.
Usage
1. After the [Standby Mode] of EtCO2 is set to [Off], measurement can be performed. (The
method to [turn off] the [Standby mode] is: select the parameter area of EtCO2 by the knob
or select the CO2 menu in the main menu, and switch [Standby mode] to [Off].)
2. Connect the CO2 measuring window sensor connector to the ventilator line near the
artificial airway side.
3. Install the CO2 sensor on the measurement window in the direction indicated by the arrow.
4. Observe the changes in the end-tidal CO2 waveform to observe the accuracy of the values.

CO2 Display Interface

CO2 parameter
area
CO2 waveform
area

Figure 11-4 CO2 Display Interface

The waveform area of CO2 will replace the original respiratory waveform area, and the
parameter area of CO2 will replace the original breathing parameter area.

61
CO2 Set Interface

（a） （b）
Figure 11-5 CO2 Set Interface
CO2 Set Interface
1. Standby mode: Set whether the module is in working state. When it is on, the module
enters the standby state and does not work; When it is off, the module starts working;
work options: on, off;
2. Zero calibration: Conduct zero calibration to the module, and the zero-calibration time
will be displayed;
3. Upper and lower limit of EtCO2 alarm: set the upper and lower limit of EtCO2 alarm;
4. Upper limit of InCO2 alarm: set the upper and lower limit of InCO2 alarm;
5. Upper and lower limit of RR alarm: set the upper and lower limit of RR alarm;
6. Zero calibration gas: set the zero-calibration gas type used when setting the zero
calibration EtCO2 module; optional: air, N2
7. Atmospheric pressure: set the atmospheric pressure value under normal use and
measurement environment; optional range (unit: mmHg): 450 ~ 850;
8. Gas temperature: set the temperature of the gas to be measured under normal use and
measurement environment; optional range (unit: °C): 0 ~ 50.0;
9. 02 Compensation: Set the percentage of O2 contained in the gas to be measured under
normal use and measurement environment; optional range: 0 ~ 100%;
10. Balancing gas: set the type of balancing gas in normal use and measurement environment;
optional: air, N2O, Helium;
11. Anesthetic gas: set the percentage of anesthetic gas in normal use and measurement
environment; optional: 0 ~ 100%;
12. Calculation cycle: Set the frequency for the EtCO2 module to perform calculations;
optional: 10 seconds, 20 seconds, 1 respiratory wave;
13. Choking time: set the detection time of measuring suffocation, optional range: 10~60
(seconds);
14. Unit: Set the unit of data displayed after the EtCO2 module is measured. Available options:
mmHg, KPa, %

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Alarm Parameter Setting
Parameter Name Available Range Parameter Name Available Range
Upper limit of EtCO2 alarm 9 ~ 100 Upper limit of RR alarm 9 ~ 300
Lower limit of EtCO2 alarm 8 ~ 99 Lower limit of RR alarm 8 ~ 299
Upper limit of InCO2 alarm 1 ~ 15
EtCO2 Alarm and Reminder Information
Alarm or Reminder Name Alarm Grade Information Description
CO2 work temperature is too low. Lower alarm
CO2 work temperature is too high. Lower alarm
CO2 work temperature is unstable. Lower alarm
CO2 air pump is closed. Lower alarm
CO2 is dormant. Lower alarm
The adapter is not connected
properly, or a negative value has
occurred in the CO2 concentration
calculation and an error has occurred
Check adapter Intermediate alarm
in the measurement. At this point,
the adapter should be checked for
moisture interference and zero
calibration.
Intermediate alarm Measurement has a negative value or
CO2 requires zero calibration. the measurement environment
changes.
CO2 nasal tube’s internal pressure is too Intermediate alarm
Maybe the nasal tube is blocked.
low.
CO2 module temperature is too high. Intermediate alarm
CO2 sink falls off. Intermediate alarm
Intermediate alarm It may have detected breathing in the
CO2 zero calibration error past 20 seconds or the air pump has
not started.
CO2 sensor hardware error High alarm
CO2 module failure High alarm
CO2 calculation value exceeds the upper High alarm
limit.
High alarm There is something wrong with the
CO2 module hardware error
module components.
CO2 zero calibration in progress No alarm
CO2 module is pre-heated. No alarm Being charged and pre-heated.

Warning:
1. It is recommended that zero calibration is conducted to EtCO2 before each measurement.
2. Collision and vibration should be avoided when measuring CO2.
3. The CO2 module is only suitable for measuring children and adults and not for newborns.
4. Excessive concentrations (>0.5%) in the environment may result in inaccurate
measurements.
5. Do not use the device in a flammable anesthetic atmosphere. This device may only be
63
 operated by personnel who are professionally trained and familiar with this manual; if the
package or internal accessories are damaged, do not use the accessory and return it to
the supplier.
6. It indicates that the sensor is starting and pre-heated. When the temperature is rising, the
module can measure CO2, which is not a standard measurement. When the information
disappears from the screen, standard measurements can be performed.
7. Side-stream sampling tubes are disposable consumables and cannot be reused for
different patient disinfection and use.
8. The trap is used to collect water droplets that have condensed in the sample airway to
prevent water droplets from entering the module. When the water collected in the trap
reaches a certain amount, the water should be drained to avoid blocking the air passage.
9. In long-term use, dust or other impurities will reduce the air permeability of filter
material in the trap and block the airway. In this case, the trap must be replaced.

64
 Chapter 12. Recorder(Optional)
12.1 Overview
The monitor uses a thermal array printer with a printing width of 50mm. The installation
position of the printer is shown in the figure below. When printing is required, press the print
shortcut button on the monitor panel (as shown in the figure, the icon is) to print relevant
information;

Recorder

Fig. 12-1 Printer position

Printer button

Fig.12-2 The position of the print button on the front panel

12.2 Print setup interface

Enter into the print setup interface method: Press the main menu button on the front panel of
the monitor or enter the main menu in the shortcut menu bar through the knob, then select
[Printer] to enter into the print setup interface. The setup interface is shown in the following
figure.

Fig.12-3 Print setup in the main menu Fig. 12-4 Print setup menu

65
12.3 Print setup
(1) Waveform 1: The first printed waveform; Fix print ECG II waveform;
(2) Waveform 2: The second printed waveform; Optional: ECG I, Pleth, Resp, Off;
(3) Waveform 3: The third printed waveform; Optional: Pleth, Resp, Off;( Waveform 2 and
waveform 3 will not show repeated measurement waveform. When waveform 2 and
waveform 3 are selected the same measurement parameter waveform, only
waveform 2 will be retained and waveform 3 will be automatically closed);
(4) Alarm print: Whether to print alarm record; Can be set on or off;
(5) Print time length: Set the length of the printing record, such as how long the record is
printed; Options: 8s, 12s, 16s, 20s;
(6) Paper speed: Set the speed of paper output when printing; Optional: 25mm/s,
50mm/s

12.4 Print information

(1) General printing: When monitoring on any display interface, press the print shortcut

key [ ] on the monitor panel, and the monitor recorder will print relevant
information. The printed content is the parameters set in the print setup. (the
printing effect is shown as below :)

Fig. 12-5 General printing

(2) Blood pressure list printing: When displaying the blood pressure list, press the

shortcut key [ ] on the monitor panel, the monitor recorder will print the current
displayed blood pressure list information. The printed content is the bed number,
systolic blood pressure, diastolic blood pressure, average pressure, and date/ time;

Fig. 12-6 Blood pressure list

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(3) Trend chart and trend list printing: When displaying the trend chart or trend list,

press the shortcut key [ ] on the monitor panel, the monitor recorder will print the
information of the current trend chart or trend list. When printing the trend chart, it
can choose to print HR, SPO2, SYS, DIA, MAP, RR, PR, ST, TEMP, TD and date/time. The
trend list can be printed for Date/time, HR, SPO2, SYS, DIA, MAP, RR, PR, ST, TEMP,
TD;

Fig. 12-7 Trend chart

Fig. 12-8 Trend list

(4) Alarm event printing: When displaying the alarm event, press the shortcut key [ ]
on the monitor panel, the monitor recorder will print out the alarm event
information currently displayed. The contents printed by the alarm event are the
parameter values, ECG II and ECG I waveforms, alarm time and alarm event contents
at the time of alarm;

67
 Fig. 12-9 Alarm event
(5) Waveform replay printing: When displaying waveform reply, press the shortcut

button [ ] on the monitor panel, the monitor recorder will print the currently
displayed waveform replay information. The printed content of waveform replay is
the selected replay waveform ECG I, ECG II and ECG III, aVR, aVL, aVF, V, replay
interval;

Fig. 12-10 Waveform replay

(6) Screen frozen printing: Press the freeze button【 】on the monitor panel, the
monitor display enters into frozen state, and show the "frozen waveform review”

window, press the print shortcut button 【 】on monitor panel, the monitor
recorder will print out the frozen waveform review information which currently
displayed. Frozen waveform review print content is the selected frozen waveform
review of ECG I, ECG II, ECG III, aVR, aVL, aVF, V, replay interval;

68
 Fig. 12-11 Display interface when freezing

12.5 Precautions
After the recorder installed correctly, the green power indicator light will be on the
front of the recorder, it can work normally. If there is any abnormal state of the
recorder, such as: the cover plate of the recorder is not covered well, lack of printing
paper, etc., the recorder will light up red error indicator. Please check the recorder at
this time.
Error indicator

Power indicator

Fig 12-12 Recorder front side

69
 Chapter 13. Battery
13.1 Overview
The monitor can be equipped with a rechargeable battery to ensure that the monitor can still
be used normally in the event of power outage. When the monitor is connected to AC power,
the battery can be charged whether it is turned on or not. In the event of a sudden power
outage, the system will automatically use the battery to power the monitor without causing a
sudden interruption in monitoring.
The battery icon on the screen indicates the status of the battery:
Battery indicator
(battery-powered)

Battery charging (AC power

supply)

With a single battery, new and fully charged, the minimum working time with all external
accessories connected is 30 minutes.
The charging time for the battery to charge to 90% in the depleted state is about 4 hours.
When the battery-loaded monitor uses AC power and charges simultaneously, the charging
icon displays.
The charging state of the battery does not cause any degradation in performance.

Battery power can only maintain for a while. Too low battery voltage will triggers an advanced
technical alarm of [Battery Low], at this point the monitor can operate for at least 5 minutes
while releasing the cuff pressure to 2 kPa (15 mm Hg) (adult), and cancel the pressure display
and do not allow blood pressure measurement.

Caution: Remove the batteries before transporting the monitor or when the monitor is
not in use for a long time.

Warning:
Keep the batteries out of the reach of children.
Use only the batteries specified by the company.
13.2 Optimizing Battery Performance
When using the batteries for the first time, ensure at least two complete optimization cycles.
A complete optimization cycle: intermittent charging, then discharge until the monitor is
turned off. During battery use, it should be optimized periodically to maintain its service life. It
is recommended to optimize the battery once every two months of use or storage, or when
the battery runtime is significantly reduced.
When optimizing, please refer to the following steps:
1. Disconnect the monitor from the patient and stop all monitoring and measurement.
2. Load the batteries that need to be optimized into the battery compartment of the
monitor.
3. Connect the monitor to AC power and charge the batteries for more than 6 hours
continuously.
4. Disconnect the AC power and use the batteries to power the monitor until the monitor is
turned off.
70
5. Re-connect the monitor to AC power and charge the batteries for more than 6 hours
continuously.
6. The batteries are optimized.
13.3 Checking Battery Performance
Battery performance may decrease over time. When checking battery performance, please
refer to the following steps:
1. Disconnect the monitor from the patient and stop all monitoring and measurement.
2. Connect the monitor to AC power and charge the batteries for more than 6 hours
continuously.
3. Disconnect the AC power and use the batteries to power the monitor until the monitor is
turned off.
4. The length of the battery power supply reflects the performance of the batteries.
If the battery duration is significantly less than stated in the specifications, replace the
batteries or contact a maintenance person.
Caution:
The battery life depends on the frequency and time of use. If the battery is properly
maintained and stored, the battery life is approximately 3 years. If the battery is used
improperly, its life may be shortened. We recommend replacing the battery every 3 years.
The battery’s power-on time depends on the device configuration and operation. For
example, frequent NIBP measurements can shorten the battery’s power-on time.
13.4 Installing Batteries
1. Turn off the power to the monitor and disconnect the power cord and other cables.
2. Open the battery door.
3. Remove the old batteries and insert the new batteries into the battery compartment
according to the polarity.
4. Close the battery door.
13.5 Battery Recycling
If the batteries are significantly damaged or exhausted, replace and recycle properly. When
disposing of used batteries, follow the corresponding regulations.
Warning:
Do not disassemble the batteries, throw them into fire or short circuit. Burning, exploding
or leaking batteries can cause personal injury.

71
 Chapter 14. Troubleshooting
14.1 No display
Symptom: When the instrument is turned on, the screen has no display and the indicator is
off.
Inspection method:
① Check if the rechargeable ba eries are exhausted or damaged when the instrument is not
connected to AC power.
② When the instrument is connected to AC power, check if the power socket and the socket
connected to the instrument are in good contact, if the power cable has open circuit, and
if there is AC output.
Solution: Connect all the connection parts reliably, and connect the AC power to charge the
instrument.
14.2 No ECG waveform
Symptom: There is no ECG waveform when the lead wire is connected. The display shows
“electrode falling off” or no waveform scan display in the waveform area.
Inspection method: Check if the electrode piece is in poor contact with the human body and if
the lead wire has open circuit.
Solution:
1) Check all external parts of the ECG lead (the three/five extension cords that are in contact
with the human body should be connected the three/five pins on the ECG socket. If it is
infinite, the lead wire is broken and should be replaced).
2) When three-lead ECG lead is used, check whether ECG is set to three-lead mode; ECG
waveform can’t be measured if it is in five-lead mode.
3) If there is no waveform scan display in the waveform area, it means that there is a
problem in the communication between ECG measurement module and the main unit. If
the prompt still appears after turning off the power, please contact the supplier.
14.3 ECG baseline drift
Symptom: The ECG scan baseline can’t be stabilized on the display and sometimes drifts.
Inspection method:
1) Check whether the environment of the instrument is damp and whether the inside of the
instrument is damp;
2) Check the quality of the electrode sheet and whether the body part that contacts the
electrode sheet is clean.
Solution:
1) Turn on the instrument continuously for 24 hours, and eliminate the moisture.
2) Replace the electrode sheet and clean the body part that contacts the electrode sheet.
14.4 ECG waveform messy
Symptom: The ECG waveform is too large to show the entire waveform.
Inspection method: Check if the ECG amplitude in the ECG setting is too large to overflow the
ECG waveform.
Solution: Adjust the ECG amplitude to the appropriate value in order to observe the entire
waveform.
14.5 No SPO2 waveforms and values
Symptom: No SPO2 waveform and value during the monitoring process.
Inspection method: Check whether the finger probe has red flashing light, whether the

72
subject’s arm is pressed, and whether the temperature in the monitoring room is too low.
Solution: If there is no red light flashing in the finger probe, the wire interface may be in poor
contact; check the extension cable and the socket interface. In areas with cold temperatures,
try not to expose the patient’s arm to avoid affecting the test results. Blood pressure
measurement and SPO2 measurement can’t be performed on the same side of the arm to
prevent the arm from being pressed and affecting the measurement.
If there is no waveform scanning display in the waveform area of the SPO2 display waveform
channel, it means that there is a problem with the communication between the SPO2 module
and the main unit. Please turn it off and then turn it on. If the prompt still appears, replace
the SPO2 plate.
14.6 Respiration signal is weak
Symptom: The respiration signal is weak and difficult to observe.
Inspection method: Check the electrode position, electrode quality and check whether the
skin at the electrode is clean.
Solution: Clean the skin, reattach the electrode, or replace it with a new one.
14.7 SPO2 value intermittent
Symptom: The SPO2 value is intermittent when measuring human blood SPO2.
Inspection methods:
1) During long-term monitoring and surgery, check if the patient’s arm moves frequently,
which will cause SPO2 values to be intermittent.
2) Check if the SPO2 extension line is broken.
Solution: Try to keep the patient stable. Once the SPO2 value is lost due to the movement of
the hand, it can be considered normal. If the SPO2 extension line is broken, replace it.
14.8 Blood pressure measurement abnormal
Symptom: The measured blood pressure value has large deviation.
Inspection method: Check if the blood pressure cuff leaks and if the pipe connection
connected with blood pressure leaks.
Solution: Replace with good cuff or connector.
14.9 Insufficient blood pressure inflation
Symptom: When measuring the blood pressure, the inflation pressure can’t be increased
(lower than 150mmHg) and measured.
Inspection method: Check if the blood pressure cuff and its extension tube are broken.
Solution: Replace with blood pressure cuff of good quality.

73
 Chapter 15. Cleaning and Disinfection
The monitor should be kept clean and free of dust.
The surface of the monitor and its accessories can be cleaned and disinfected, and
equipment or accessories must not be removed for cleaning.
Cleaning and disinfection methods are limited to wiping. Do not drench or pour liquid on
the equipment or immerse it in liquid.
In order to avoid long-term damage to the product, we recommend disinfecting the product
only if it is deemed necessary by the hospital’s procedures; the disinfected product should
be cleaned first.
15.1 Cleaning
Wipe with a soft cloth soaked in clean water, mild soapy water or diluted non-corrosive
detergent (most detergents must be diluted according to the detergent instructions before
use), and then dry with a soft cloth or dry naturally.
15.2 Disinfection
The following products can be used as disinfectants:
1) 75% ethanol
2) Dilute ammonia
3) Diluted sodium hypochlorite (bleaching powder for washing). Note: The sodium
hypochlorite of concentration range about 500ppm (1:100 diluted household bleach) to
5000ppm (1:10) is very effective, and the amount depends on how many organic matters
(blood, animal and plant mucus) exists on the cleaned and disinfected surface.
4) Hydrogen peroxide solution (3%)
5) Isopropyl alcohol solution

Warning:
1) Turn off the power and disconnect the AC power before cleaning and disinfecting.
2) Do not disinfect the instrument with gas (EtO) or formaldehyde.
3) Do not use strong solvents such as acetone.
4) Never use abrasive materials (such as steel wool or silver polish).
5) When cleaning and disinfecting, place the cap on the rubber tube of the blood pressure
cuff to prevent the liquid from entering the rubber tube and being sucked into the blood
pressure module.

Caution:
We are not responsible for the effectiveness of the above disinfectant or disinfection method
as a means of infection control. Please discuss with the hospital’s infection control leader or
epidemiologist.

74
 Chapter 16. Maintenance and Repair
16.1 Maintenance
Warning:
Hospitals or medical institutions that use this equipment should establish a comprehensive
maintenance plan, or else it may cause equipment failure and unpredictable consequences,
and may endanger personal safety.
All safety inspections or repairs that require disassembly of equipment should be
performed by qualified service personnel. Operation by non-professionals may result in
equipment failure and may endanger personal safety.
If you find something wrong with your equipment, contact your service representative or
our company.

16.1.1 Inspection
Before the monitor is used, continuous use for 6~12 months, after maintenance or upgrade, a
comprehensive inspection should be carried out by professional maintenance personnel to
ensure the normal operation and work of the monitor.
The items to be inspected should include:
■ Environment and power supply meet the requirements.
■ Equipment and accessories have no mechanical damage.
■ The power cord has no wear and has good insulation performance.
■ Use specified accessories.
■ The function of the alarm system is normal.
■ Battery performance.
■ Monitoring functions are in good condition.
■ Grounding impedance and leakage current meet the requirements.

If any damage or abnormality is found, do not use the monitor and immediately contact the
medical engineer of the hospital or our maintenance personnel.
16.1.2 Maintenance Plan
The following tasks can only be completed by professional maintenance personnel approved
by the company. Please contact us if you need to perform the following maintenance.
Equipment must be cleaned and disinfected prior to testing or repair.
Inspection/maintenance item Frequency
Safety inspection according to IEC At least once every two years. It is also necessary when the
60601-1 power supply is replaced or the monitor is dropped.
Check all monitoring or measurement At least once every two years, or when you suspect that the
functions not listed below measurements are inaccurate.
NIBP leak detection At least once every two years, or as prescribed by the hospital.
NIBP pressure check At least once every two years, or as prescribed by the hospital.
NIBP calibration At least once every two years, or as prescribed by the hospital.

Warning:
The demo function is primarily used to demonstrate machine performance and to train
users. In actual clinical use, the demo function should be prohibited, so as to prevent the
medical staff from mistaking the monitor displays as the waveforms and parameters of the

75
patient being monitored, thereby affecting patient monitoring and delaying the diagnosis
and treatment of the disease.
16.2 Qualified Maintenance Facilities
The ECG simulator, NIBP simulator, SPO2 simulator, ECG tester, constant temperature water
tank, dielectric strength tester, leakage current tester, grounding impedance tester, multimeter,
and oscilloscope calibrated by the metrology department can be used as qualified
maintenance and testing devices.
16.3 Maintenance Training
The maintenance representative authorized by the company can go to the company to
participate in equipment maintenance training, and can take the job only when pass be
training.

76
 Chapter 17. Default Manufacturer Settings (patient type is adult)
17.1 Alarm Settings

Fig. 17-1 Default Alarm Settings as Shown Above

17.2 ECG

Fig. 17-2 Default ECG Settings as Shown Above

77
17.3 SPO2

Fig. 17-3 Default SPO2 Settings as Shown Above

17.4 NIBP

Fig. 17-4 Default Blood Pressure Settings as Shown Above

78
17.5 RESP

Fig. 17-5 Default Respiration Settings as Shown Above

17.6 TEMP

Fig. 17-6 Default Temperature Settings as Shown Above

79
 Chapter 18. Alarm Information
This chapter lists some of the most important physiological and technical alarm messages,
some of which are not necessarily listed.
Note that in this chapter:
Alarm levels: H indicates high, M indicates medium, and L indicates low.
XX represents a physiological parameter such as ECG, NIBP, HR, PR, RR, SPO2, and TEMP.
For each alarm message, the corresponding countermeasures are listed. If the problem
persists after taking the measures, please contact the service personnel.
18.1 Physiological Alarm Information
Source Alarm information Alarm level Causes and countermeasures
XX value is higher than the upper alarm limit or lower
than the lower alarm limit. Check the patient’s
XX XX overrun H physiological condition, confirm the patient type and
check whether the alarm limit setting is suitable for the
patient.
If no SPO2 is detected, check the patient’s condition. If it
ECG No SPO2 detected H is confirmed that there is no SPO2, take rescue measures
immediately.
The patient’s respiration signal is too weak for the
RESP Suffocation H system to analyze. Check the patient’s condition,
electrodes, cables and lead wires.
The difference between the patient’s systolic and
Pressure difference
NIBP H diastolic blood pressure is less than the set value; check
too low
the patient’s condition to see if there is any danger.
18.2 Technical alarm information
Source Alarm information Alarm level Causes and countermeasures
The electrode sheet or the lead wire falls off; check the
ECG Electrode falling off L/M
electrode sheet and the lead wire.
SPO2 probe is detached or installed incorrectly; check the
SPO2 Probe falling off L/M
probe.
NIBP Measurement error L/M Cuff leak or installation error; check cuff
Battery symbol The battery level is low; please connect the AC power for
System H
flashing charging

80
 Chapter 19. Parameter Setting Fast Index
19.1 Restore default settings
Restore all parameters of the monitor to their default values.
To enter the menu: Shortcut button bar -> Main menu (second page) -> Reset;
The menu to restore the default settings is shown in Fig. I9-1:

Fig. 19-1
19.2 Parameter setting options
Function selection: ECG parameters, SPO2 parameters, non-invasive blood pressure
parameters, respiration parameters, body temperature parameters, alarm settings, print
settings, network settings, date and time, custom colors, drug concentration calculations,
restore default settings, other settings, maintenance, system information.
Record mode: Manual single time.
Pulse sound: Adjustment of Grade 0-9.
Alarm tone: Adjustment of Grade 1-10, Alarm sound (45 ~ 85dB)
Key monitoring leads: I, II, III, aVR, aVL, aVF, V
Scanning speed: 6.25 mm/s, 12.5 mm/s, 25.0 mm/s, 50.0 mm/s.
ECG gain: × 1/4, × 1/2, × 1, × 2, × 4.
Monitoring mode: Extended mode, monitoring mode, surgery mode.
Lead mode: 3/5 leads.
Blood pressure measurement mode: Adult, child.
Blood pressure measurement method: Manual, cycle.
Blood pressure unit: mmHg, kPa.
Blood pressure cycle measurement interval: 1, 2, 5, 10, 15, 20, 30, 60, 120 minutes.
Correct measurement parameters:
Systolic pressure (SYS): -3~+3.
Diastolic pressure (DIA): -3~+3.
Mean pressure (MAP): -3~+3.

81
 Chapter 20. Product Specifications
20.1 Monitor Type
Class I anti-shock device, connected to external power supply; integrated with internal power
supply
Protection against electric shock:
ECG (RESP) is anti-defibrillation CF
TEMP, SPO2 is BF
NIBP is anti-defibrillation BF
Operating method: Continuous
20.2 Specifications of the Monitor
20.2.1 Dimensions and Weight of the Monitor
Dimensions (length × width × height): 308×288×148mm
Net weight: See outer packing
20.2.2 Operating and Storage Environment
Temperature range:
Operating +5~+40°C
Transportation and storage -20~+55°C
Humidity range:
Operating ≤80%
Transportation and storage ≤90%
Altitude range:
Operating 70kpa~106kpa
Transportation and storage 50kpa~106kpa
Electrical specifications:
AC 100-240V, 50/60Hz
Fuse: T1.6AL.250VAC
20.2.3 ECG Specifications
Heart rate measurement / alarm range: 0~300bpm
Alarm limit range: Upper limit (1~300bpm); lower limit (0~299bpm)
Accuracy: ±5 bpm or ±10%,Minimax value
Alarm delay: less than 10 seconds in a single time, less than 10 seconds on average.
20.2.4 Respiration Specifications
Measuring range: 0~120 rpm
Accuracy: ±2 rpm or 5%,Minimax value
Alarm delay: less than 10 seconds in a single time, less than 10 seconds on average.
20.2.5 Blood Pressure Specifications
Measuring range:
Adult:
Systolic pressure 30~260mmHg
Mean pressure 20~235mmHg
Diastolic pressure 10~215mmHg
Children:
Systolic pressure 40~220mmHg
Mean pressure 20~165mmHg
Diastolic pressure 10~150mmHg
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Accuracy: Maximum error ±5mmHg (±0.67kPa)
Alarm delay: less than 10 seconds in a single time, less than 10 seconds on average.
20.2.6 SPO2 Specifications
Nominal measurement range: 35%~100%
Resolution: 1%
Accuracy: In the range of 70%~90%, the measurement error is ≤3%, In the range of 90%~100%,
the measurement error is ≤2%,and other ranges are not defined;
When the pulse SPO2 is lower than 70%, the monitor still works normally, but accuracy is not
guaranteed.
Update time: About 1 second
Alarm delay: less than 10 seconds in a single time, less than 10 seconds on average.
Pulse rate:
Measuring range 20~300 bpm
Resolution 1 bpm
Accuracy ±3 bpm
Alarm delay 10 seconds
20.2.7 TEMP Specifications
Measuring range: 0.0°C ~ 49.0°C
Accuracy: ±0.2°C
Alarm limit range:
Upper limit: 0.1°C ~ 49.0°C
Lower limit: 0.0°C ~ 48.9°C
Alarm delay: less than 10 seconds in a single time, less than 10 seconds on average.

The above specifications are subject to change without notice.

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