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De
f
ault conf
i
gu
r
ati
on
i
nf
orma
ti
on
IV
-
3
Tac
hy (The
HR upper
lim
it
)
(bpm)
ADU
120
PED
160
NEO
200
Brady (The
H
R
lower lim
it
)
(bpm)
ADU
50
PED
75
NEO
100
Ventricular
brady
card
i
a
Rate
(bpm
)
ADU
40
PED
NEO
Ventricular
brady
card
i
a
PV
Cs
ADU
5
PED
NEO
V-Tac
Rate (bpm)
ADU
130
PED
130
NEO
160
V-Tac
P
VCs
ADU
6
PED
NEO
M
ulti
PV
Cs
Wind
ow
ADU
15
PED
NEO
PV
Cs/
min
ADU
10
PED
NEO
A-Fib/
Irr
Rhy
E
nd
Tim
e
(s)
ADU
2
PED
NEO
Paus
e
s
/
min
ADU
8
PED
NEO
3.
ST defau
lt
se
ttings
Na
me
De
fa
ult
s
et
tin
gs
ST Alarm
M
ode
Re
al-t
ime
value
ST
-I
,
S
T
-I
I,
ST-I
I
I,
ST-a
VR, ST-aVL,
ST-aVF,
S
T-
V1
, ST-V2,
S
T-
V3
,
ST-V4
,
S
T-
V5
,
ST-V6
,
S
T-
Va, ST-Vb
([
Alarm
m
ode
]
is
set
to
[R
e
al-tim
e
v
alue
])
Alarm
On/
O
ff
Of
f
Alarm
Lim
its
(-0.2m
V,
0
.
2m
V
)
Alarm
Le
vel
M
e
d
Alarm
Aut
o
Pr
int
Of
f
Single
S
T
Alarm
;
M
ulti
ST
Alarm
([
Alarm
mod
e
]
is
s
e
t
to
[Various
])
Alarm
On/Off
Of
f
Alarm
Lim
its
(-0.1m
V,
0
.
1m
V
)
Alarm
Le
vel
M
e
d
Alarm
Aut
o
Pr
int
Of
f
ST Segment
Analys
is
Of
f
ST Segment
Aut
o
283
285
Table of Contents
Main Page
After-Sales Service
2
Table of Contents
5
Blank Page
22
Chapter 1 Safety
23
Safety Information
23
Contraindications
25
Symbols
26
Chapter 2 Overview
28
Product Introduction
28
Product Composition
28
Intended Use of Product
28
Product Differentiations
28
Monitor Appearance
30
Front View
30
Left View
31
Right View
31
Rear View (N10/N10A/N10C)
32
Rear View (N12/N12A/N12C/N15/N15A/N15C)
33
On-Screen Display (OSD)
34
Interface Symbols
35
Menus
36
Quick Keys
36
Quick Key List
36
Set Quick Keys Displayed on the Screen
38
Chapter 3 Installation and Preparation
39
Installation
39
Unpacking and Checking
39
Environmental Requirements
39
Device Preparation
40
Connection of the AC Power Supply Cord
40
Connect to DC Power Source (for N10/N10A/N10C)
40
Protective Grounding
41
Equipotential Grounding
41
Connection of Device Components
41
Connect the Sensor
41
Startup and Shutdown
42
Startup
42
Shutdown
42
Chapter 4 Basic Operations
44
Operation and Browsing
44
Use of Thetouch Screen
44
Use of a Mouse
44
Use of a Soft Keyboard
44
Use of a Scanner
45
Clear Data Format
45
Working Modes
45
Monitor Mode
45
Night Mode
45
Privacy Mode
46
Standby Mode
47
Demo
47
General Settings
48
Enter Parameter Setup Window
48
Switch Screen
48
Spo 2 Screen
48
The Display of the Spo Screen
49
Operating the Spo Screen
49
Set Layout of the Normal Screen
49
Set Layout of the Large Fonts Screen
50
Set the Language
50
Date and Time
50
Set Brightness
50
Set Units
51
Set Volume
51
Set Parameters On/Off
51
Change a Parameter Color
51
Waveform Freezing
51
Freeze Waveforms
52
View Frozen Waveforms
52
Unfreeze
52
Print Frozen Waveforms
52
Use of Timers
52
Timer Display
53
Timer Operation
53
Timer Setup
53
Chapter 5 Patient Management
55
Discharging a Patient
55
Admitting a Patient
55
Quick Admit
56
Normal Admit
56
Patient Information
56
Enter Patient Management Menu
56
Edit Patient Information
56
Set Items Displayed in the Patient Management Menu
57
Set Monitor Information
57
Set the Device Location
57
Chapter 6 Manage Configurations
58
Set Default Patient Category
59
Change Department
59
Select Default Configuration
59
Save Current Settings
60
Delete Configuration
60
Export Configurations
60
Import Configuration
60
Load Configurations
61
Manage Configuration Password
61
Chapter 7 Alarms
62
Safety Information
62
Alarm Types
63
Alarm Priority
63
Alarm Signals
63
Alarm Indicator Light
63
Sound Alarm
64
Alarm Message
64
Alarm Parameter Forms
64
Alarm Status Icon
64
View Physiological Alarm Conditions
65
View Technical Alarm Conditions
65
Set Alarm Limits
65
Manual Adjust Alarm Limit
65
Set Auto Alarm Limits
65
Set Alarm Volume
66
Set Minimum Alarm Volume
66
Set Alarm Reminder
67
Set the Function of Alarm Volume Enhancing
67
Alarm Paused/Alarm Audio Pause
67
Alarm Paused Categories
67
Alarm Pause
68
Set Alarm Pause Time
68
Delay Alarm Pause Time
68
Alarms All off
69
Alarm Audio Pause
69
Set Alarm Audio Pause Time
69
Delay Alarm Audio Pause Time
69
Alarm Audio off
70
Set Spo Desat Alarm (Not for Rainbow Spo )
70
Set the Switch Status of Apnea Alarm
70
Set the Switch Status of CMS Disconnection Alarm
70
Set the Switch Status of CMS Alarm System Control
71
Set Alarm Delay Time
71
Alarm Reset
71
Physiological Alarm Reset
71
Technical Alarm Reset
72
Set Alarm Light Status after Alarm Reset
72
Alarms at Remote View
72
Set Remote View Reminder
72
Set Remote View Priority
72
Remote View Reset
73
Alarm Reset by Remote View
73
Set Nurse Call
73
Nurse Call Setup
73
Cardiopulmonary Bypass (CPB) Mode
74
Enter CPB Mode
74
Exit CPB Mode
74
Intubation Mode
75
Enter Intubation Mode
75
Set Intubation Mode Time
75
Exit Intubation Mode
75
Alarm Auto Print
75
Restore Alarm Defaults
76
Alarm System Self-Test
76
Chapter 8 ECG Monitoring
77
Safety Information
77
ECG Display
78
Monitor Setup
79
Prepare Skin
79
Connect the ECG Cable
79
Install ECG Leads
80
Place 3-Lead Electrodes
80
Place 5-Lead Electrodes
81
Place 6-Lead Electrodes
82
Place 12-Lead Electrodes
82
Recommended ECG Lead Connections for a Surgical Patient
83
ECG Setup
84
Set the ECG Lead Type
84
Check Pacer Status
84
Set Pacer Reject
84
Select ECG Screen
85
Set ECG Alarm
85
Set Alarm Source
85
Set QRS Volume
85
Set ECG Waveform
86
Set Lead for ECG Waveform Displayed
86
Set ECG Waveform Gain
86
Set Va and Vb Markers
86
Set ECG Waveform Speed
86
Set ECG Filter Mode
87
Set Notch Filter
87
Set Notch Filter Frequency
87
Set Heart Beat Marker
88
Set Smart Lead off
88
Set Lead off Alarm Priority
88
Arrhythmia Analysis
88
Safety Information on Arrhythmia
88
Arrhythmic Events
89
Lethal Arrhythmia
89
Non-Lethal Arrhythmia
90
Arrhythmia Setup
91
Set Arrhythmia Alarm
91
Set the Switch Status of Lethal Arrhythmia Alarm
91
Set Arrhythmia Threshold
91
Arrhythmia Threshold Range
92
Heart Rate Variability
92
Enter HRV Menu
92
View HRV Parameters
93
View Histogram R-R
93
View Difference Histogram R-R
94
View Scatter
94
View R-R Trend
95
Select Analysis Period
95
ST Segment Analysis
96
Safety Information about ST
96
ST Analysis On/Off
96
Set ST Alarm
96
Set ST Alarm Delay
97
Display ST Parameters
97
Display ST Segment in Waveform Area
98
Select ST Segment Analysis Lead in Waveform Area
98
Display Position Markers of ISO Point, J Point and ST Point
98
Locate ST Point, J Point and ISO Point
99
Set ST Point, J Point and ISO Point
99
ST View
100
Save ST Baseline
100
Enter ST Graphic Window
100
Qt/Qtc Monitoring
102
Restrictions on Qt/Qtc Measurement
102
Enable Qt/Qtc Monitoring
102
Display Qt/Qtc Parameters and Waves
103
QT View
103
QT Setup
104
QT Alarm
104
QT Leads
104
ECG Relearn
105
Start ECG Relearn Automatically
105
Start ECG Relearn Manually
105
Defibrillation Synchronization
105
Chapter 9 12-Lead Resting ECG Analysis
107
About 12-Lead Resting ECG Analysis
107
Enter 12-Lead
107
Start 12-Lead Resting ECG Analysis
107
Glasgow 12-Lead ECG Analysis Setup
107
Input Patient Information (for Glasgow Algorithm Only)
108
Set the Filter
108
Set 12-Lead Report
108
Save 12-Lead Report
109
Print 12-Lead Report
109
Exit 12-Lead Analysis Window
109
Chapter 10 Resp Monitoring
110
Resp(Respiration) Measurement
110
Safety Information
110
Resp Display
111
Placement of Electrodes
111
Optimization of Lead Position
111
Resp Setup
112
Set Resp Alarm
112
Set Apnea Time
112
Set RR Source
112
Set Resp Lead
113
Set Gain
113
Set Waveform Speed
113
Set Filter
113
Set Auto Threshold Detection
113
Manually Adjust Resp Wave Detection Threshold
114
Enter Intubation Mode
114
Chapter 11 Spo 2 Monitoring
115
Overview
115
Identification of Spo Type
115
Safety Information
116
Masimo Spo2 Specific Information
119
Measurement Restrictions
120
Spo 2 Display
120
Low Perfusion Accuracy Test
121
Monitoring Steps
121
Comen Spo Measurement Steps
121
Masimo Spo 2 & Nellcor Spo 2 Measurement Steps
121
Placement of the Spo 2 Sensor
122
Placement of an Adult Spo
122
Placement of a Neonatal/Pediatric Spo
122
Placement of a Disposable Spo Sensor
123
Spo Setup
123
Set Spo Alarm
123
Set Spo Sensor off
124
Set Waveform Speed
124
Set NIBP Simul
124
Set Satseconds (for Nellcor Spo Only)
124
Set Sensitivity (for Masimo Spo Only)
125
Set Average Time (Not for Nellcor Spo )
126
Average Time for Masimo Spo
126
Average Time for Comen Spo
126
Set Fast Sat (for Masimo Spo Only)
126
Set Smart Tone (for Masimo Spo Only)
126
Set Signal IQ (Not for Nellcor Spo )
127
Display PI (Not for Nellcor Spo )
127
PR Setup
127
Set PR Alarm
127
Set PR Source
127
Set Pulse Volume
128
Masimo Information
128
Nellcor Information
128
Chapter 12 NIBP Monitoring
129
Overview
129
Safety Information
129
Measurement Restrictions
130
NIBP Display
131
Display NIBP List
132
NIBP Setup
132
Set Patient Type
132
Set NIBP Alarm
132
Set Initial Pressure
132
NIBP End Tone
132
Set NIBP Measure Sequence
133
Set NIBP Timeout
133
NIBP Measurement
133
Preparations for Measurement
133
Start NIBP Measurement
134
Start Manual Measure
134
Start Interval Measure
134
Start Clock Measure
134
Start NIBP STAT
135
Start Sequence Measure
135
Stop NIBP Measurement
136
Stop Ongoing Measurement
136
Stop NIBP STAT
136
Stop All NIBP Measurement
136
Venipuncture
136
NIBP Analysis
137
Chapter 13 TEMP Monitoring
139
TEMP Overview
139
Set Temperature Display Area
139
Temperature Display
139
Temperature Measurement
139
Temperature Setup
140
Set Temperature Alarm
140
Display Temp Difference
140
Set Temp Sensor Type
141
Turn off Dual Temp Display
141
Chapter 14 IBP Monitoring
142
Overview
142
Safety Information
142
Monitoring Steps
143
IBP Assembly
143
Measurement Steps
143
Zero the Pressure Sensor
144
IBP Display
144
IBP Setup
145
Set IBP Alarm
145
Set Auto Alarm Limits
145
Change Pressure Label
145
Display Pressure Type
146
Set IBP Waveform Speed
146
Set IBP Scale
146
Set Alarm Limits Display
146
Set IBP Sensor Type
147
Change Pressure Unit
147
IBP Overlap
147
Set Filter Mode
148
Enable PPV Measure
148
PAWP Measurement
148
PAWP Measurement Screen
149
PAWP Equipment Assembly
150
Preparations for Measurement
150
Measurement Steps
151
PAWP Setup
151
Hemodynamic Calculation
152
Record
152
Chapter 15 CO 2 Monitoring
153
Overview
153
Indication on CO Module
153
Safety Information
154
Adverse Effects on Performance（Masimo
154
CO Display
155
CO Measurement
156
Preparations for Mainstream CO
156
Module Connection
156
Preparations for Sidestream CO Sensor Connection
157
Preparations for Sidestream CO Plug-In Module
157
Preparations for Respironics Sidestream CO Module (Other than Plug-In Module)
158
Preparations for Masimo Sidestream CO Module (Other than Plug-In Module)
159
Preparations for Comen Sidestream CO Module (Other than Plug-In Module)
160
Checks before Use for Masimo CO
160
Module
160
Zeroing the CO Sensor
161
Zeroing the Masimo CO
161
Module
161
Zeroing the Respironics & Comen Mainstream CO
161
Zeroing the Respironics & Comen Sidestream CO
161
CO Setup
162
Set CO Alarm
162
Set Apnea Timeout
162
Set Work Mode
162
Set Waveform Speed
162
Set Scale
163
Set Waveform Type
163
Set Gas Compensation
163
Set Balance Gas
164
Set Pressure Unit
164
Set Elevation
164
Enter Intubation Mode
166
Discharging Waste Gases
166
Information on MASIMO Mainstream & Sidestream Gas Modules
166
Safety Information
166
Sidestream Gas Module
166
IRMA Mainstream Gas Module
167
Airway Obstruction
168
Leakage Check
168
Safety Symbols
169
Patents and Trademarks
170
Consumables
170
ISA Nomoline Family
170
IRMA Airway Adapter
171
Maintenance
172
Chapter 16 C.O. Monitoring
173
Overview
173
Measurement Limitations
174
Display
174
Setup
175
Set BT Alarm
175
Set TEMP Unit
175
Set C.O. Timeout
175
Set Patient Information
175
Set Interval
175
Set Injection Temp
176
Set Inject Volume
176
Set Measure Mode
176
Cardiac Output Measurement
176
Preparations for Measurement
177
Measurement Setup
177
Measure
178
Chapter 17 Data Review
180
Overview
180
Review Screen
180
Go to the Review Screen
180
Structure of Review Screen
180
Icons on the Review Screen
181
Tabular Trends
181
Go to the Tabular Trends Page
181
Select the Trend Group
181
Change the Time Step of Tabular Trends
182
Print the Tabular Trends Report
182
Graphic Trends
182
Go to the Graphic Trends Page
182
Set the Window Time
183
Set the Number of Waveforms
183
Print the Graphic Trends Report
183
Events Review
183
Go to the Events Page
184
Set Event Searching Conditions
184
Edit Events
185
View Details of Events
185
Print Events
185
Full-Disclosure Waveforms
185
Go to the Full-Disclosure Waveforms Page
185
Select Compressed Waveforms
186
View Details of Compressed Waveforms
186
Set the Waveform Gain of Details Area
186
Print the Full-Disclosure Waveforms Report
186
12-Lead Report Review
187
Go to the 12-Lead ECG Page
187
View the Average Template
187
Set the Waveform Displayed in 12-Lead ECG Page
187
Print the 12-Lead ECG Report
187
Go to the ST Page
188
Set the Reference Template
188
Show/Hide Reference Template
188
Show/Hide Markers
188
Print ST-Segment Data
188
Minitrends
189
Go to the Minitrends Page
189
Select the Parameters to be Reviewed
189
Set the Trend Time
189
Exit the Minitrends Page
189
Oxycrg
190
Select Parameters and Scale
190
Set the Window Time
190
Close Unnecessary Review Items
190
Chapter 18 Clinical Assistant Assessment (CAA)
191
Sepsisguide
191
Go to the Sepsisguide Menu
191
Sepsis Screening
191
Qsofa Score
191
SOFA Scoring
192
Treatment
192
SSC Bundle Therapy
192
Supportive Therapy
192
SSC Setup
193
Early Warning Score (EWS)
193
Go to the EWS Screen
193
Score Calculation
194
Auto Scoring
195
EWS Setup
195
Select a Score System
195
Set the Scoring Interval
195
Set the Timeout of Parameters
196
EWS Review
196
Glasgow Coma Scale (GCS)
196
Go to the GCS Screen
196
GCS Scoring
197
GCS Scoring Review
197
ECG 24H Summary
197
Go to the ECG 24H Summary Window
198
Select Typical ECG Waveforms
198
ECG 24H Summary Review
198
Pacer View
198
Access to Pacer View Window
199
Review the Real-Time Pacer
199
Review the History Pacer
199
CCHD (Critical Congenital Heart Disease) Screening
200
CCHD Detection Procedure
200
Select CCHD Screening Rule
202
Access to the CCHD Screening
203
Start CCHD Screening
204
Screening Again
204
Chapter 19 Calculation
205
Overview
205
Safety Precautions
205
Drug Calculation
205
Drug Calculation Steps
205
View the Titration Table
206
Drug Calculation Formula
206
Hemodynamic Calculation
207
Calculation Steps
207
Input Parameters
207
Output Parameters
207
Input Parameters
209
Output Parameters
209
Ventilation Calculation
210
Input Parameters
210
Output Parameters
211
Renal Function Calculation
211
Input Parameters
211
Output Parameters
212
Chapter 20 Record
213
Description of Recorder
213
Start Recording
213
Start Recording Manually
213
Start Recording Automatically
213
Stop Recording
214
Stop Recording Manually
214
Stop Recording Automatically
214
Set the Recorder
214
Set to Automatic Recording
214
Clear Record Task
215
Load Recording Paper
215
Clear Jammed Paper
215
Recorder Cleaning
215
Chapter 21 Print
217
Printer
217
Set the Printer Type
217
Set the Networked Printer
217
Manual Printing
218
Start Printing on the Current Page
218
Print Normal Reports
218
Automatic Printing
218
Set the Printed Report
219
Set the ECG Report
219
Set the Realtime Report
219
Set the Tabular Trends Report
219
Set the Graphic Trends Report
220
Printer out of Paper
220
Chapter 22 Battery
221
Overview
221
Installing the Battery
222
View Battery Information
222
Optimize and Check Battery Performance
222
Optimize Battery Performance
222
Check Battery Performance
222
Battery Recycling
223
Chapter 23 Cleaning and Disinfection
225
Overview
225
Cleaning of the Monitor, Plug-In Modules
226
Disinfection of the Monitor, Plug-In Modules
227
Cleaning and Disinfection of Accessories
227
Cleaning and Disinfection of NIBP Cuffs
227
Cleaning and Disinfection of Other Accessories
228
Cleaning
228
Disinfection
228
Sterilization
229
Chapter 24 Maintenance
230
Maintenance Checks
230
Maintenance Plan
231
Service Life of Reusable Accessories
232
Version Information
232
Testing Methods and Steps
232
Visual Inspection
232
Startup Inspection
233
Recorder Test
233
Network Printer Test
233
Battery Inspection
233
Monitor Disposal
233
NIBP Leakage Test
234
NIBP Verify
234
ECG Calibration
234
IBP Calibration
234
Chapter 25 Other Functions
235
Network Connection
235
Set Network Protocol
236
Set Network Type
236
Set Wired Network
236
Set Wireless Network
236
Central Monitoring System Connection
236
Connection to the Hospital's Information System by HL7 Protocol
237
Remote View
237
Enter Remote View Window
237
Appendix I Accessories
238
Appendix II Product Specifications
247
Appendix IV Default Configuration Information
283
Appendix V EMC
294
Appendix VI Glasgow 12-Lead ECG Analysis
304
VI.1 Wave Measurement
304
VI.2 ST Segment and Amplitude Measurement
305
VI.3 Interval Measurements
306
VI.4 Stability of Measurements against Noise
306
VI.5 Analyzing Electrocardiograph Intended Use
307
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