Mercury User Manual for Ver 8.0.10

8/14/2019 Mercury User Manual for Ver 8.0.10

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MercuryMercuryPATIENT MONITOROPERATORS MANUAL


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Mercury AKAS Portable Patient Monitor Manual

CONTENT

C O N T E N T. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .2

C H A P T E R 1 I N T R O D U C T IO N. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .5

1.1 About the Manual .......................................................5

1.2 Safety Information ............................................................................................................ 5

1.3 Explanation of Symbols ................................................................................................... 7

1.4 Description of Abbreviation .............................................................................................. 9

C H A P T E R 2 O V E R V I E W O F M O N I T O R. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .1 0

2.1 General Information ...................................................................................................... 10

2.2 Special Feature .............................................................................................................. 10

2.3 Appearance of Monitor ................................................................................................... 11

............................................................................................................................................. 11

2.3.1 Screen display ............................................................................................................. 112.3.2 Function buttons .................................................................................................................13

......................................................................................................................................................16

2.3.5 Rear panel ...........................................................................................................................16

2.4 Specification ................................................................................................................... 16

C H A P T E R 3 P A T I E N T S A F E T Y. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .2 2

3.1 Environment................................................................................................................... 22

3.2 Condensation ................................................................................................................. 23

3.3 Grounding ..................................................................................................................... 23

C H A P T E R 4 G E T T IN G S T A R T E D. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .2 3

4.1 Unpacking and Inspection .............................................................................................. 23

4.2 Connect the Power Cables ............................................................................................ 24

4.3 Power on the Monitor ..................................................................................................... 24

4.4 Connecting Patient Sensors ........................................................................................... 24

4.5 Check the recorder ......................................................................................................... 24

C H A P T E R 5 M E N U T R E E O F O P E R A T I O N. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 5

C H A P T E R 6 S Y S T E M M E N U. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .3 6

6.1 Time ............................................................................................................................... 37

6.2 Volume ........................................................................................................................... 37

6.3 Printer ............................................................................................................................. 376.4 Color ............................................................................................................................... 39

6.5 Mode .............................................................................................................................. 39

6.6 Extend ............................................................................................................................ 41

C H A P T E R 7 T A B L E & T R E N D. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .4 5

7.1 Table .............................................................................................................................. 46

7.2 BP table .......................................................................................................................... 47

7.3 GRAPH ......................................................................................................................... 47

7.3.1 HR ............................................................................................................................... 48

7.3.2 NIBP ............................................................................................................................ 48

7.3.3 SpO2 ........................................................................................................................... 49

7.3.4 ST ................................................................................................................................ 49

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7.3.5 CO2 ............................................................................................................................. 50

7.3.6 TEMP .......................................................................................................................... 50

7.4 OxyCRG ........................................................................................................................ 51

7.5 ALARM ........................................................................................................................... 51

7.6 Time ............................................................................................................................... 52

C H A P T E R 8 A L A R M a n d S IL E N C E. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .5 3

8.1 Alarm Mode .................................................................................................................... 53

8.2 Alarm Setup ................................................................................................................... 53

8.3 Common Method of Alarm Setup ................................................................................... 54

8.4 Silence .......................................................................................................................... 55

C H A P T E R 9 E C G M O N I T O R I N G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .5 6

9.1 What is ECG MONITORING .......................................................................................... 56

9.2 Precautions during ECG Monitoring ..............................................................................56

9.3 Monitoring Procedure ..................................................................................................... 56

9.4 ECG Screen .................................................................................................................. 61

9.4.1 ECG displaying area ...........................................................................................................61

9.4.2 ECG waveform ...................................................................................................................61

9.5 ECG Menu ..................................................................................................................... 61

9.5.1 AMPLITUDE .....................................................................................................................62

9.5.2 ALARM .............................................................................................................................62

9.5.3 ECG ANALYSE and REPLAY ........................................................................................62

NOTE ........................................................................................................................................... 62

9.5.4 CASCADE or LEAD: ........................................................................................................67

The Mercury Patient Monitor adopts the standard 5-lead to detect the patients

electrocardiogram. When the ECG is 5-lead, the selectable leads are

aVL aVF aVR V1-V6, AUTO CASCADE When you select the STANDARD,

GRAPH EXT or IBP EXT mode in the MODE of SYSTEM SETUP, the cascade item is

available and be displayed in the ECG menu. ............................................................................67

9.5.5 SWEEP SPEED ..................................................................................................................68

9.5.6 OTHER ...............................................................................................................................68

9.6 Maintenance and Cleaning ............................................................................................ 69

C H A P T E R 1 0 N IB P M O N IT O R IN G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .6 9

10.1 Introduction .................................................................................................................. 69

10.2 Preparation for Cuff...................................................................................................... 70

10.3 NIBP Displaying Area .................................................................................................. 71

10.4 Operation of NIBP Monitoring ...................................................................................... 71

10.4.1 BP TYPE ............................................................................................................................71

10.4.2 ALARM ............................................................................................................................71

10.4.3 UNIT .................................................................................................................................72

10.4.4 CYCLE .............................................................................................................................72

10.4.5 MODE ...............................................................................................................................72

10.4.6 None-stop (STAT) ............................................................................................................73

10.5 Pressure Safety Protection .......................................................................................... 74

10.6 Maintenance and Cleaning .......................................................................................... 74

C H A P T E R 1 1 S P O 2 M O N IT O R I N G. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .7 5

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11.1 What Is SpO2 Monitoring ............................................................................................. 75

11.2 Precautions during SpO2/Pulse Monitoring ................................................................. 75

11.3 Monitoring Procedure ................................................................................................... 76

11.4 SpO2 Displaying Area .................................................................................................. 77

11.5 Operation of SpO2 Monitoring ..................................................................................... 77


C H A P T E R 1 2 R E S P M O N IT O R I N G. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .7 9

12.1 How to Measure RESP ................................................................................................ 79

12.2 Setting up RESP Measurement................................................................................... 79

12.3 Procedures of RESP Measurement............................................................................. 79

12.4 RESP Displaying Area ................................................................................................. 80

12.5 Operation of RESP Monitoring ..................................................................................... 80


C H A P T E R 1 3 T E M P M O N I T O R IN G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .8 2

13.1 Procedure of TEMP Measurement.............................................................................. 82

13.2 TEMP Displaying Area ................................................................................................. 82

13.3 Operation of TEMP Monitoring ....................................................................................82


C H A P T E R 1 4 IB P M O N IT O R IN G. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .8 4

14.1 Introduction .................................................................................................................. 84

14.2 Precautions during IBP Monitoring ............................................................................... 84

14.3 Monitoring Procedure ................................................................................................... 84

14.4 IBP Displaying Area ..................................................................................................... 85

14.5 Operation of IBP Monitoring ........................................................................................ 85


C H A P T E R 1 5 E t - C O 2 M O N I T O R IN G. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .9 0

15.1 Assembling the patient sampling circuit....................................................................... 91

15.2 Operation of Et-CO2 Monitoring ..................................................................................95

15.3 ET-CO2 calibration module ........................................................................................ 96

C H A P T E R 1 6 M A I N T E N A N C E A N D T R O U B L E S H O O T I N G. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .9 8

16.1 Maintenance ................................................................................................................. 98

16.2 Troubleshooting ......................................................................................................... 100

16.3 Warranty and Repair .................................................................................................. 100

16.3.1 Warranty and repair content .................................................................................... 100

16.4 Storage and Transportation .......................................................................................101

A p p e n d i x. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .1 0 1

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CHAPTER 1 INTRODUCTION

1.1 About the Manual

This manual explains how to set up and use the Mercury Patient Monitor. Important safety

information relating to general use of the Mercury Patient Monitor appears before this

manual. Other important safety information is located throughout the text where appropriate.

Before the use of the Mercury Patient Monitor, the user must carefully read this manual so

that the user can operate the Mercury Patient Monitor properly and make it reach the

specific safety standard and performance index.

1.2 Safety Information

The Mercury Patient Monitor is to be operated by qualified personnel only. Before use,

carefully read this manual, directions for use of any accessories, all precautions, and all

specifications. The user must check that the equipment functions safely and ensure that

it is in proper working condition before being used.

The Mercury Patient Monitor is intended for use only as an adjunct in patient

assessment. It must be used in conjunction with clinical signs and symptoms.

To avoid an electrical hazard, never immerse the unit in any fluid or attempt to clean it

with liquid cleaning agents. Always disconnect monitor from AC Main Power before

performing cleaning of maintenance.

If monitor becomes accidentally wet during use, discontinue operation of the monitor

until all affected components have been cleaned and permitted to dry completely.

Contact our local representative if additional information is required.

Connect the monitor to a three-wire, grounded, hospital-grade receptacle.

By replacing the fuse, please use the safety device of the same type and rated fuse.

Before use the equipment, inspect whether all the cables are in good condition, the

damaged cables and connectors must be replaced. Operator should examine whether

the system is in correct working state and operating condition.

As with all medical equipment, carefully route patient cabling to reduce the possibility of

patient entanglement or strangulation.

To avoid monitor fall, secure monitor on the shelf or bracket prior to use.

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Be sure to use defi-protected electrodes and ECG cable if the monitor is used with

defibrillation equipment.

If any parameters displayed on monitor and working station are not accurate, adopt the

other methods to diagnosis patient.

The medical equipment must be manipulated by personnel who have already got

relative training of operation.

For safe and accurate operation, use only our company recommended patient cable,

lead wires, cuffs, hose, sensors, tubing, etc. Request for the special children or infant

accessories when monitor infant.

Single use devices should never be reused.

Do not use the monitor in the presence of a flammable anesthetic mixture with air or with

oxygen or nitrous oxide.

The system may not conform to all performance specifications if stored or used outside

the environmental specification identified in specification.

If the accuracy of any measurement does not seem reasonable, first check the patients

vital signs by alternate means and then check the Mercury Patient Monitor for proper

functioning.

Alarm must be set up according to different situation of individual patient. Make sure that

audio sound can be activated when alarm occurs.

When an X appears in the Alarm Bell symbol, the audible alarm tone will not sound for

any reason.

Do not only depend on the alarm system, the doctor and nurse will not draw attention

when an alarm turn down or turn off.

When connecting the monitor to any instrument, verify proper operation before clinical

use. Refer to the other devices manual for full instructions. Accessory equipment

connected to the monitors data interface must be certified according to IEC Standard

60601-1 for electro medical equipment. All combinations of equipment must be in

compliance with IEC Standard 61601-1-1 systems requirements. To avoid potentially

hazardous leakage currents, always check the summation of leakage currents when

several item of equipment are interconnected.

For proper equipment maintenance, perform the service procedures at therecommended intervals as described in the manual.

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If the Mercury Patient Monitor needs to be used continuously long-term, please note to

connect the Mercury Patient Monitor with the main power supply by the alarm of battery,

otherwise, the Mercury Patient Monitor will automatically shut down, which leads to the

break-off of the monitoring.

Do not use the Mercury Patient Monitor during Magnetic Resonance Imaging (MRI)

scanning. Induced current could potentially cause burns. The Mercury Patient Monitor

may affect the MRI image, and the MRI unit may affect the accuracy of the Mercury

Patient Monitor measurements.

Do not place the monitor in any position that might cause it to fall on the patient. Do not

lift the monitor by the power supply cord or patient connections.

The monitor can monitor only one patient synchronously.

As to the other points for attention, please carefully read the relevant chapter in this

instruction.

1.3 Explanation of Symbols

AttentionRefer to the relevant theprompt.

Class II Equipment

Resistant defibrillator

BF type equipmentHeart Beat Detected

Power on/off Rotated knobCounter-clockwiseand clockwise

Alarm on Alarm off

Sound on Silence

System setup menu Trend menu

Equi-potential grounding

terminal

AC

50/60 HZ

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Fuse

This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. Theunit displaying this symbol contains an F-type isolated (floating) patient applied part

providing a high degree of degree of protection against shock, and is suitable for use

during defibrillation.

This item is compliant with Medical Device Directive 93/42/EEC of 14 June 1993,

a directive of the European Economic Community.

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1.4 Description of Abbreviation

HR:

ECG:

heart rate

2-channel or 7-channel ECG waveform

SPO2: arterial oxygen saturation

SpO2 Plethysmogram

NIBP: non-invasive blood pressure

IBP: invasive blood pressure

IBP1 SYS, DIA, MAP

IBP2 SYS, DIA, MAP

Dual-IBP waveforms

S: Systolic

M: mean blood pressure

D: Diastolic

PR: pulse rate

RR: respiration rate

Respiration Waveform

TEMP: temperature channel 1

temperature channel 2

Temperature Difference between two

channels (TD)

Et CO2: end-tidal CO2 concentration

Ins CO2 Inspired Minimum CO2

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CHAPTER 2 OVERVIEW OF MONITOR

2.1 General Information

The Mercury Patient Monitor is a portable Mercury Patient Monitor that has abundant

monitoring functions and is used for the clinical monitoring of adult, pediatric and neonate. In

addition, the user may select the different parameter configuration according to different

requirements.

The Mercury Patient Monitor can be connected to the central monitoring system via our

companys network so as to form a network monitoring system.

2.2 Special Feature

10.4 active matrix TFT, CRT can be connected simultaneously

Portable, compact, AC power and internal rechargeable battery

Anti-high-frequency electrosurgical equipment

Optional inner printer with 3 channels wave or external printer

13 kinds of Arrhythmia analysis, S-T segment and HRV analysis

300 seconds ECG waveforms review,100 items alarm event records

72-hour Trend for NIBP, SPO2, HR, ST and 72-hour data records

Display 9 waveforms maximum in the screen

Display 7-lead ECG waveforms in one screen simultaneously

3-level audible and visual alarm

The Drug dose Calculation

Adjust volume more accurately by digital system

Menu design adopts Huffman decode, operating more effectively

Support Ethernet, wireless LAN and could connect with Central monitoring system

Multi-language version: English, Spanish, Turkish, German, Polish, etc.

Optional Dual-IBP, Et-CO2, Built-in thermal recorder

Application from adult to neonate

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2.3 Appearance of Monitor

Fig.2-1

2.3.1 Screen display

The display of Mercury Patient Monitor is TFT LCD, which displays the patient parameters,

waveforms, historical data and monitor status.

The screen is divided into six areas: (1) monitor status, (2) waveforms, (3) the table of historical

data, (4) parameters (5) menu (6) frame of menu status.

Monitoring status frame

Fig. 2-2

Bed No.: Indicates the bed number of the patient being monitored when the Mercury Patient

Monitor is connected with the Central Monitoring System Workstation.

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1

2 3

4

5

6

8

9

1

12

14

13

15161718

19

7

1

20


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DEMO: indicates the device is in DEMO monitoring mode now. In clinical application, this

function is not recommended because the DEMO will mislead the hospital workers to treat

the waveform and parameter as actual data of the patient, which may result in delay of

treatment or mistreatment.

Start time: indicates the time powered on the monitor, it shows in 13:14.

Current time: indicates the date and the current time, it shows in 11/17/2005, 13:40:20

Graphic displaying area

The graphic area can maximally display 4 or 6 or 9 waveforms. The displaying order of the

waveforms on the screen can be adjusted. The colour of waveforms matches with the

parameters on the right of the screen. For the maximum configuration, the waveforms

provided by the system for selection are (from up to down):

2 -lead or 7-lead ECG waveforms

2-lead :when you select the STANDARD mode, it will display 2-channal ECG waveforms.

The two channels of ECG waveforms show different leads, lead selection is

III III aVL aVRaVFV1-V6 ,you can set it as you like, the lead status of showing

waveform displays on the left of ECG waveform.

7-lead: when you select the ECG EXT(ECG extension) mode, it will display 7-channal

ECG waveforms. The seven channels of ECG waveforms show different leads, the lead

status of showing waveform displays on the left of ECG waveform. Please refer to chapter 6

Display Mode

SpO2 waveform

RESP waveform

There are two ways to gain RESP waveform, trans-thoracic impedance and Et-CO2

(optional).If operator selects Et-CO2 (side stream) to monitor the patients respiration, the

CO2 waveform will instead of the RESP waveform acquired by Trans-thoracic impedance.The detailed operation please refer to Chapter14 Et-CO2 Monitoring

2 IBP waveforms(option)

If operator selects IBP operation, the table of historical data will be instead of 2 IBP waveforms.

The detailed operation, please refer to Chapter 13 IBP monitoring.

Numeric displaying area

The numeric area lies on the right side of the graphic area, which includes:

ECG: heart rate (uni t: beats/minute)

NIBP: from left to right, there are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa)

IBP: the BP of channel 1 and 2. From left to right, there are Systolic pressure, Mean pressure

and Diastolic pressure (unit: mmHg or kPa)

SpO2: SpO2(unit: %)

Pulse rate (unit: beats/minute)

RESP: respiration rate (unit: breaths/minute)

TEMP: temperature of channel 1 and 2 (unit: or )

Et-CO2: unit: mmHg or kPa

Menu

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The menu always occupies the fixed position on the bottom of the screen; user can set the

system and perform operation.

Frame of menu status Silence on/off: shows the status of silence on or off the detailed

Operation please refers to Chapter 8 Alarm and Silence.

Alarm on/off: shows the status of alarm on or off , the detailed operation please

refer to Chapter 8 Alarm and Silence.

Table&Trend: the function is for operator observing the patients latest 72 hours change,

including historical data table, HR, NIBP, SpO2, ST,TEMP,CO2, the detailed operation

please refer to Chapter 7 Table&Trend.

System setup: you can configure various aspects of the monitor, including system time,

simulation, print setup, color, display wave mode, language, etc., The detailed operation

please refers to Chapter 6 System Menu.

Menu bar: it shows the different menus of every operation, the detailed operationplease refer

to Chapter 6 to Chapter 14.

2.3.2 Function buttons

Fig.2-3

1 Alarm

ALARM button, pressing the button will prohibit all the technically audio alarm and

physically audio alarm for 3 minutes. The audio alarm function will be restoredautomatically after 3 minutes or be activated when new alarm occurs. As pressing the

button, the icon in menu status shows which indicates all the audio alarms have

been shut off. And there will be the information of 180s count down for alarm on the top of

the screen

NOTE

When mark appears, the system can not give the audio alarm prompt.

Therefore, the operator should use this function carefully.

2Silence

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SILENCE button, when pressing the button, this mark appears in the menu status,

indicating that all kinds of sound including the audio alarm and heart beep have been

manually muted until the button has been pressed again, the system will immediately

restore the normal status, and the icon shows as

3FreezeFREEZE button, pressing the button can freeze the waveform of ECG. The screen

displays two traces of ECG waveform. When one trace is active, pressing the FREEZE

button will freeze another trace. Pressing FREEZE button again will restore the normal

monitor status. In ECG EXT, 7-leads ECG waveforms are frozen once you press

FREEZE button.

4Start/Cancel (NIBP)

START/CANCEL (NIBP) BP measuring button, pressing the button will inflate the cuff to

start a new NIBP measurement. When measuring, press to cancel the measurement and

deflate the cuff, including the CYCLE and STAT (NOT STOP) measuring mode.

5Print

PRINT button, pressing this button will motivate the recorder or desktop printer to output

the results if the monitor is equipped with them.

(6) Menu (Refresh)

Main MENU button, pressing the button will exit the submenu and refresh the screen.

7Rotary Knob

The method of using the knob to execute the operation:

Rotary knob is just like the cursor of computer. When operator rotates the knob on the icon

where the operation is wanted, the icon will be automatic highlight. Then pressing the knob,

operator will open the setup menu of the corresponding parameter so as to set up themenu.

(8) Power Supply Indicator

Indicating the power supplying state of the monitor

Orange: 220VAC main power supplying

Orange and flash: 220VAC main power supplying and battery being charged

Green: internal battery power supplying and 50% power has been consumed.

2.3.3. Side Panel

- 14 -

The operator uses the rotary knob to select the menuitem and modify the setup. It can be rotated

clockwise or counter-clockwise and pressed like

other buttons. The operator uses the knob to realize

the operations.

Fig. 2-4


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Fig.2-5

(1) ECG socketconnect ECG 5-lead wire with 6 PIN connector

(2) NIBP socketconnect NIBP cuff with extension tube

(3)(4) IBP (IBP1, IBP2) socket: Single, Dual-channel (optional)

(5)(6) Temperature socket: connecting the TEMP probe

(7)SPO2 socketconnect the SpO2 sensor with 5 PIN extension cable

2.3.4 Recorder

Fig. 2-6

A thermal array recorder with standard 50mm (+1/-1) wide printout paper is used forMMED6000DP portable Mercury Patient Monitor. Detailed information please refers to Section

6.3 Printer Setup.

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NOTE

The thermal array recorder should be installed by the adequate technician.

240/1, Periyacolony, Athipet,Ambattur, Chennai-600058.www.akasmedical.com

AKAS Medical

Model No. :S.No. : L08091258

FORSUPPORT

Fig.2-7

2.3.5 Rear panel

(1) Power switch

(2) NET: network access point: connecting with the central monitoring system through the

standard RJ-45.

(3) CRT: exteriorly connecting screen and standard VGA.

(4) Printer: this connector is reserved now.(5) DC SOCKET: 15V

(6) Equivalent electric ground access for connecting with the hospitals grounding system.

2.4 Specification

Environment

The operation environment should comply with the following conditions:

Operating Temperature: 5 to 45

Relative Humidity: 0 to 80%, non-condensing

Height of sea level: -500m ~ 4600m

The transport and storage environment should comply with the following conditions:Storage Temperature: -20 to 70

Relative Humidity: 0 to 93%, non-condensing

Height of sea level: -500 m~ 13100m

Display

Type: 640X480 pixel color TFT

Screen Size: 10.4 inch diagonal

Displayed Parameters

Time: Battery-backed quartz crystal clockAlarms: High and low limits selectable on patient parameters

ECG: ECG Waveform Scale

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Heart Rate: Derived from ECG or SPO2

NIBP: Pressure (systolic, mean and diastolic)

Pulse Oximeter: Pulse Rate, Pulse waveform, and percent saturation.

Respiration Rate: Respiration rate derived from ECG.

Trends: HR,RR,NIBP, ST,TEMP ,CO2 and SpO2

Temperatures: Two channelsTrace Freeze Traces A or B

ECG

Protected against defibrillator and electro surgery potentials

Standard Lead I, II, III, AVL, AVR, AVF, Vx

Display Gain Scales 2.5mm/mV,5mm/mV,7mm/mV,10mm/mV,15mm/mV,

20mm/mV, 25mm/mV

Sweep Speed 6.25 mm/s,12.5mm/s, 25mm/s, 50mm/s

Input Resistance > 5M Ohm (at 10 Hz, not including patient cable)

Frequency Response 0.05Hz-100Hz (3dB)CMRR >80dB

Electrode Offset potential Maximum 0.3V

Baseline Recovery


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Technique Oscillometric method (with inflatable cuff)

Determines systolic, diastolic and mean arterial pressures.

Patient Types Adult, Pediatric and Neonatal

Cuff Inflation Time 3-15 seconds depending on cuff size.

Cuff Inflation Pressure Adult/Pediatric/Neonatal, Subsequent inflation pressures

determined by last measured systolic pressure.Measurement Modes Manual: Immediate upon operator command

AUTO: Determinations automatically made with selectable

intervals

STAT: Determinations continues in 5 minutes

First Inflation Measurement Adult/Pediatric/Neonatal

Measurement Interval Time 1-240min

Step:1min(1-10min),5min(10-30min),10min(30-90min),

30min(90-240min)

Measurement Range Adult

Systolic 30-255mmHgDiastolic 15-220mmHg

Mean Arterial 20-235mmHg

Measurement Range Infant

Systolic 30-135mmHg

Diastolic 15-110mmHg

Mean Arterial 20-125mmHg

Pressure Resolution 1mmHg

Accuracy Cuff Pressure Range: 0 to 275mmHg

Pressure Span Accuracy: 3mmHg

Mean difference: 5mmHg

Standard deviation: 8mmHg

Determination Time Typically 25seconds.Varies with patients pulse rate, pulse

pressure and amount of artifact present.

Overpressure Valve

Adult/Neonate

Automatically releases cuff pressure if inflation pressure

exceeds 280mmHg/150mmHg

Overtime Protection

Adult/Neonate

Stop determinates if the measurement time exceeds

120s/90s.

Alarm delay Pressure high and low limits alarm delay


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CO2 (Optional)

Sensor Operating

Principle

Infrared Spectroscopy

CO2 Range 0% to 13%

CO2 Accuracy 2 mmHg @ < 5.0% CO 2 (at ATPS)

< 10% of reading @ > 5.0% CO 2 (at ATPS)

Breath Rate 2 - 150 bpm

Response Time Detector

28 mSec (typical)

System 100 mSec ( typical)

(Dependent Upon Implementation, Pneumatics and WaterSeparation Technique)

Flow adjustable 50ml/min100ml/min

150ml/min

IBP (Optional)

Power Requirements

Alarm Range

- 19 -

Technique Resistance

Channel 2 (T1 and T2)

Scales F. Or C.

Probes Resistive; recta and skin (reusable and disposable)

YSI 400 Series types

Range 0-50Revolution 0.1

Accuracy 0.1

Alarm delay Body temperature high and low limits alarm delay


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Parameter HR

(bpm)

Systolic

(kPa)

(mmHg)

Diastolic

(kPa)

(mmHg)

Mean

Arterial (kPa)

(mmHg)

SPO2

(%)

RR

rpm

TEM

F

CO2

(mmHg)

PR

(bpm)

High Range 40-300 12.0-34.0

90-255

8.0-29.3

60-220

4.6-29.3

35-220

80-100 10-120 25.5-45

77.9-113

20-75 30-300

Low Range 20-160 8.0-29.3

60-220

4.0-24.0

30-180

4-26.6

30-200

70-99 5-80 25-44.5

77-112.1

5-70 15-290

Default Alarm Setup

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CHAPTER 3 PATIENT SAFETY

The portable Mercury Patient Monitor is designed to comply with the International Safetyrequirements for medical electrical equipment. This device has floating inputs and is protected

against the effects of defibrillation and electro surgery. If the correct electrodes and ECG cable

are used and applied in accordance with the manufacturer instructions, the screen display will

recover within 10 seconds after defibrillation.

3.1 Environment

Follow the instructions below to ensure a completely sage electrical installation. The

environment where the Mercury Patient Monitor Portable Mercury Patient Monitor will be used

should be asonably free from vibration, dust, corrosive or explosive gases, extremes of

temperature, humidity, and so on. For a cabinet mounted installation, allow sufficient room at the

- 22 -

Parameter HR

(bpm)

Systolic

(kPa)

(mmHg)

Diastoli

c (kPa)

(mmHg

)

Mean

Arterial

(kPa)

(mmHg)

SPO2

(%)

RR

rpm

TEM

F

CO2

(mmH

g)

PR

(bpm)

High Range 120 21.3160

12.695

14.6110

100 20 39.5103.1

50 140

Low Range 50 12.0

90

8.0

60

8.0

60

80 5 36

96.8

20 60


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front for operation and sufficient room at the rear for servicing with the cabinet access door

open.

The Mercury Patient Monitor operates within specifications at ambient temperatures between

0 and 40 . Ambient temperatures that exceed these limits could affect the accuracy of the

instrument and cause damage to the modules and circuits. Allow at least 2 inches (5cms) spacearound the instrument for proper air circulation.

3.2 Condensation

Make sure that during operation, the instrument is free of condensation. Condensation can form

when equipment is moved from one building to another, thus being exposed to moisture and

differences in temperature.

3.3 Grounding

To protect the patient and hospital personnel, the cabinet of The Portable Mercury Patient

Monitor must be grounded. Accordingly, The Portable Mercury Patient Monitor is equipped with

a detachable 3-wire cable which grounds the instrument to the power line ground (protective

earth) when plugged into an appropriate 3-wire receptacle. If a 3-wire receptacle is not available,

consult the hospital electrician. If the capacity of the protective grounding wires is in doubt, the

equipment must be operated with internal power supply.

CHAPTER 4 GETTING STARTED

NOTE

To ensure that the monitor works properly, please read Chapter 3, and follow the steps

before using the monitor.

4.1 Unpacking and Inspection

Open the package and take out the monitor and accessories carefully. Keep the package for

possible future transportation or storage. Check the components according to the packing list.

Check for any mechanical damage.

Check all the cables, modules and accessories.

If there is any problem, contact the distributor immediately.

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4.2 Connect the Power Cables

Connection procedure of the AC power line:

Make sure the AC power supply complies with following specification: 100-240 (VAC), 50/60

(Hz)

Apply the power line provided with the monitor. Plug the power line to the power socket on the

rear panel (Socket (5)).

Connect the other end of the power line to a grounded 3-phase power output.

NOTE

Connect the power line to the jack special for hospital usage.

The battery needs to be charged after transportation or storage. If the power

supply is not properly connected before turning on the monitor, it may not work

properly because of insufficient power. Connect the power supply to charge the

battery.

4.3 Power on the Monitor

Press POWER (on the rear panel) to power on the monitor. Then a beep will be heard and the

self-test will last for about 10 seconds. When the system will enter monitoring status, then you

can perform normal monitoring.

NOTE

Check all the functions that may be used to monitor and make sure that the monitor

is in good status.

The battery must be recharged to the full electricity after each use of monitoring soas to reserve sufficient power in battery.

WARNING

If any sign of damage is detected, or the monitors display some error message, do

not use it on any patient. Contact the biomedical engineer in the hospital or the

distributor immediately.

NOTE

The interval between twice presses of POWER should be more than 1 minute.

4.4 Connecting Patient Sensors

Connect all the necessary patient sensors between the monitor and the patient.

NOTE

For information on correct connection, refer to related Chapter.

4.5 Check the recorder

If your monitor is equipped with a recorder, open the recorder door to check if paper is properly

installed in the output slot. If no papers present, do not press PRINT function button.

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CHAPTER 5 MENU TREE OF OPERATION

For giving operators a succinct direction about operations, the following MENUTREE shows the

overview of all the settings, it can guide you to operate the system simply.

To get more information for each setting, you can refer to each Chapter.

For the monitor working properly, you should pay attention to the following NOTE.

PROMPT

Color: there are 15 colors for each parameters, the clockwise sequence is: red, purple,

brown, light blue, blue, peak green, aqua, rosiness, pink, yellow, white, black, sky blue,

green, cyan. Youd better keep the background color to black for getting the better view.

SYSTEM: the function is set by manufacturer, please keeps them constant.

NIBP mode: if the inflating pressure is selected between 70~120mmHg, the monitoringpatient should be neonate; if the inflating pressure is selected between 140~180mmHg, the

monitoring patient is adult.

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MENU TREE:

DAY

MENU

SYSTEM

SETUP

TIME

MONTH

YEAR

HOUR

MINUTE

SECOND

VOLUME

1-7

PRINT SETUP TYPE

CS-TR48

GRID ON

OFF

TIME 5SECONDS

10SECONDS

15SECONDS

20SECONDS

25SECONDS

30SECONDS

ALARM PRINT ON

OFF

CYCLE OFF

1--480MIN

PRINT WAVE

NONE

ECG

SPO2

COLOR NIBP RESP

SPO2 ECG+SPO2

RESP ECG+RESP

TEMP SPO2+RESP

ECG 3 CHANNELS

BACKGROUD

MODE STANDARD

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GRAPH EXT

IBP EXT

ECG EXT

LARGE FONT

EXTEND

SYSTEM

DEMO

MESSAGENAME

SEX

AGE

SWITCH

FANALARM

HIGH

SETUPSEND

RECEIVE

SPFC

BED

RETURN

TABLE&TREND

TABLE>> .>> CHART

BP TABLE>> .>> CHART

GRAPH

HR

NIBP

SPO2

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ST

CO2

TEMP

OxyCRG>> .>> CHART

ALARM>> .>> CHART

ERASE? >> >> Erased

TIME 8h

24h

72h

ALARM

HR

HIGH

LOW

ALARM OFF

High

Medium

Low

LEADOFF ALARM ON

OFF

NIBP

SYSTOLIC

HIGH

LOW

MEAN HIGH

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LOW

DIASTOLIC

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

CALIBRATE

SPO2

PR ALARM PR HIGH

PR LOW

ALARM ON

OFF

PROBEOFFALARM

ON

OFF

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

RESP

HIGH LOW

LOW

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ALARM OFF

HIGH

MEDIUM

LOW

APNEAON

OFF

TEMP

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

DIFFERENT_LIMIT 0.0--20.0

OFF

CO2

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

SOUND

2.5mm/mV

5mm/mV

7mm/mV

10mm/mV

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15mm/mV

ECG

AMPLITUDE 20mm/mV

25mm/mV

ALARM

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

LEADOFF ALARM ON

OFF

ANALYSIS& REPLAY

ST SETUP

POSITIVE

NEGATIVE

ALARM

REPLAY QUICK

NORMAL

SLOW

TIME

HR V>> >> CHART

ANA ON

OFF

HR A FAST

SLOW

ANALYSIS

NIBP CTR

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CASCADE(STANDARD)

ON

OFF

LEAD(ECG EXT)

---Vx

SPEED 6.25mm/s

12.5mm/s

25mm/s

50mm/s

OTHER FILTER OPERATION

MONITOR

DIAGNOSIS

OFF

BEEPON

OFF

HR FROMECG

SPO2

BP

TYPE BP

(IBP EXT)

NIBP

IBP1

IBP2

ALARM

SYS

HIGH

LOW

MEAN

HIGH

LOW

DIAS

HIGH

LOW

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ALARM OFF

High

Medium

Low

CALIBRATE

UNIT

mmHg

kPa

CYCLE MANUAL

1-240m

MODE AUTO

70-180 mmHg

STAT(NON-STOP) ON

OFF

SPO2

AMPLITUDE

1-5

AVERAGE 4

8

16

PR SOUND ON

OFF

ALARM

PR ALARM

PR HIGH

PR LOW

ALARM

PROBEOFFALARM

ON

OFF

HIGH

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LOW

ALARM OFF

HIGH

MEDIUM

LOW

WAVEFORM FILL

LINE

RESP

AMPLITUDE

1-12

TYPE

IMPEDAN

CO2

ALARM

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

APNEA OFF

5-90 SECONDS

CO2 SETUP

HIGH

LOW

ALARM OFF

HIGH

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MEDIUM

LOW

INSCO2 ON

OFF

PUMP MODE90ml/min

150ml/min

200ml/min

OFF

UNIT mmHg

%

TEMP

ALARM

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

DIFFERENT_LIMIT OFF

0-20

UNIT C

F

IBP

BP TYPE IBP1

IBP2

ALARM

SYS HIGH

LOW

MEAN HIGH

LOW

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DIAS

HIGH

LOW

ALARM OFF

HIGH

MEDIUM

LOW

CALIBRATE ZERO

ADJUST

UNIT mmHg

KPa

BASELINE

0-50

SCALE 20, 40 mmHg/cm

60 ,80mmHg/cm

100,200mmHg/cm

LABEL ABP

PAP

CVP

CHAPTER 6 SYSTEM MENU

The Portable Mercury Patient Monitor features flexible configurations. You can configure various

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aspects of the monitor, including TIME, PRINTER, COLOR, DISPLAY WAVEFORM and other

extending functions.

In monitoring status, rotate the knob to highlight the MENU icon, and then press the

knob, the menu bar of system setup appears on the bottom of screen.

Fig.6-1

The system setup menu includes 6 items. Rotating and pressing the knob to select the menu

to be set. Having finished the setup, just press RETURN, the system will return to the previous

menu. All the settings will be stored automatically when powering off the monitor.

6.1 Time

Select TIME item in SYSTEM SETUP menu to access the sub-menu of TIME as shown

below Fig.6-2:

Fig.6-2

System time is in format of day, month, year, hour, minute and second. Pick the item you wish to

modify and turn the knob, the figure will increase or decrease by 1 at each switch. Then select

Return to the previous menu.

6.2 Volume

User may select different level of volume as per clinical requirement. There are 30 levels for you

to select. Along with the number increasing, the volume will be loud.

6.3 Printer

6.3.1 Performance of the recorder

It can record up to 3 waveforms.

Output with grid selectable

The real-time recording and waveform are user-configurable.

Auto recording interval is set by the user, the waveform is in accordance with the real timerecording.

The alarm recording waveform is automatically selected by the monitor.

6.3.2 Printing paper

Record paper requirement

Only standard 50(+0/-1) mm thermosensitive record paper can be used, otherwise the recorder may

not function, the recording quality may be poor, and the thermosensitive printhead may be

damaged.

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NOTE

When the recorder is working, the record paper goes out steadily. Do not pull the

paper, or the recorder will be damaged.

Do not operate the recorder without record paper.

Inserting paper

Open the recorder catch. Print the button on the top right of the recorder. The cassette will

be pop-up.

Insert a new roll of paper into the paper cassette .

When the paper is inserted into cassette completely, pull it out. Ensure proper position and

tidy margin.

Give out the paper from the recorder outlet.

Close the recorder catch.

6.3.3 Operation of the recorder menu

Select PRNSETUP in SYSTEM SETUP menu to call up the following menus:

Fig.6-3

(1)TYPE: set the type of thermal recorder, please keep CS_TR48 remained.

(2)GRID select whether the grid is shown on printing paper or not. Pressing ON item, the

grid will appear on the paper, which is for doctor to have more facility for observe the patients

status. Pressing OFF, there will be only printed waveforms on the paper.

TIME represents the length of the printing time, 6 selections are available :

5s10s15s20s25s30s. It means that the recorder will last to print the waveform for

the length of time you chosen.

ALARM PRINT: select ON for this item, the printer will print alarm event when it occurs.

TIMING: represent time interval between two times of timing recording. OFF and 1Min

~480Min are available to select. It means the system will activate the recording operation

according to the selected time interval. The length of printing time is in accordance with the

setup in TIME item.

NOTE

If you select OFF item in this menu, the real-time recording will be performed.

(6) Print Wave user may select the waveforms to be output in this item. 8 selections are

available None, ECG, SpO2, ECG+SpO2, Resp, ECG+ Resp, SpO2+ReSP, Three Chn

ECG: the ECG waveform on the screen (if no ECG waveform is currently displayed on the

screen, the waveform will be printed as beeline on the paper.)

SpO2: SpO2 plethysmogram (if there is no SpO2waveform being currently displayed on the

screen, the waveform will be printed as beeline on the paper.)

RESP: respiration waveform (if no RESP waveform is currently displayed on the screen, the

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waveform will be printed as beeline on the paper. If Et CO2 module is working, CO2 waveform

will be printed instead of RESP waveform. )

Three Channel: including ECG waveform, SpO2 waveform, RESP waveform will be entirely

printed.

None: none waveforms will be printed on the paper.

6.3.4 Printed content by the build-in recorder

Fig.6-4The printed-paper is shown as Fig.6-4:

Bed No.

The printed data and time, they are shown as 07/28/2004 15:17:36.

Waveforms: waveforms will be printed as per you selected. When recorder prints 3

waveforms, they would be overlapped.

Parameters: parameters are recorded on the bottom of the printing paper, the contents are:

RR, HR,SpO2, ECG lead, sweep speed, PR, TEMP.6.4 Color

The item is used to define the color of the waveform and parameters displayed on the screen.

Rotate the knob to select the COLOR item to access the sub-menu shown in the Fig. 6-5.There are 15 colors for each parameters, clockwise rotating the knob, the sequence is: red,

purple, brown, light blue, blue, peak green, aqua, rosiness, pink, yellow, white, black, sky blue,

green, cyan. Youd better keep the background color to black for getting the better view.

Fig.6-56.5 ModeIt is for defining how many waveforms will be represented on the screen. Rotate the knob to

select the MODE item, then choose STANDARD ,GRAPH EXT IBP EXT and ECGEXT to display as your requirement.

STANDARD mode indicates that there are 4 waveforms and data table displayed on thescreen, including: two traces of ECG waveform, SpO2 waveform, RESP waveform and onetable (shown as Fig.6-6). Rotate the knob to make the cursor be on the type of lead in the ECGframe, then press and rotate the knob to select the ECG waveforms of various leads displayedon the screen.

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Fig.6-6

GRAPH EXT mode indicates that there are 4 waveforms, data table and trend graphs

displayed in the screen, including: two traces of ECG waveform, SpO2 waveform, RESP

waveform and one-hour trends of ECG,NIBP,SPO2,RESP (shown as Fig.6-7).

Fig.6-8

IBP EXT mode indicates that there are 6 waveforms on the display screen, including: two

traces of ECG waveform, SpO2 waveform, RESP waveform and two traces of IBP waveform

(shown as Fig.6-8).

Fig.6-9

- 40 -

Trend graph

IBP waveforms


41/106


ECG EXT mode indicates there are 9 waveforms displayed on the screen, including:

7 channels of ECG waveforms, SpO2 waveform, RESP waveform without IBP waveform.

(Shown as Fig.6-9).

Fig.6-10

NOTE

If operator selects Et-CO2 (side stream) to monitor the patients respiration, the CO2

waveform will instead of the RESP waveform acquired by Trans-thoracic impedance to

display on the screen.

6.6 Extend

Rotate the knob and select EXTEND item to access the sub-menu shown as below Fig.6-10

Fig.6-11

1 SYSTEM: this function is set by the distributor, please keep them unchanged.

2 DEMO: Turn on or turn off the demo mode.

3 FAN : Rotate the knob and select FAN item to access the sub-menu shown as below:

Fig: 6-12

SWITCH: By this menu you can select ON, OFF or AUTO. AUTO mode, the fan will

automatically be opened when the monitor inner temperature is higher than the fan-on limit (the

default setting is 65 C) and will automatically be closed when the monitor inner temperature

reaches the fan off limit (the default setting is 55 C).

ALARM: if you set ALARM beep sounds with high level mode, and the temperature value will

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turn red and flash when the monitor inner temperature is higher than the temperature alarm

limit.

HIGH: You can set the temperature alarm limit by this item, when the monitor inner

temperature higher than the temperature alarm limit, the alarm function will be triggered.

NOTE

The monitor inner temperature limits for fan on or fan-off can not be set by user.

4) Setup: By this item you can realize communication with the 808 module.

Fig: 6-13

SEND: Select the send item and confirm, you will see the following menu.

Fig: 6-14

CHANNEL: The channel from which the heart rate is computed

LEAD SEL: The type of lead. (when type is LEAD III, the heart rate is only can be

computed from the channel I.)

ECG From: The screen only can display one channels wave form. You can set which

channels wave form is displayed.

PACE SEL: You can set the information that if the patient using the pace maker.

808 ID: Read the ID number from the 808module.

RECEIVE: By this menu you can see the following message.

Fig: 6-15

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SPFC : Switch for defibrillation synchronization output.

(5) BED: Indicates the bed number of the patient being monitored when the patient monitor is

connected with the workstation, it always shows on the top left corner in the monitor status

frame.

NOTE

The item EXTEND is useful to the engineers and technicians to adjust the monitors

configurations. But for the doctors we do not propose them to use this item. As for the

detail of the items usage please refer to the SERVICE MANUAL correspondingly.

Fig.6-14

CHANGE U:

This function is set by the user to change the unit of drug. The user could choose four

options, Does/MINDoes/HRDoes/WT/MINDoes/WT/HR.

When you choose the Does/MIN option, the monitor will auto to add the drug per minute.

The other three options are similar to the Does/MIN.

CHANGE V:

This function is set by the user to change the value of drug. The value consists of amount,

volume, weight and so on. There is a range for these values. When the value is beyond of

range, the value will be displayed as ---.-

TYPE:

The user could set this option to choose the type of drug. There are five options could be

chose, but the user only could select one type once.

NOTE: the A, B, C, D is not the name of drug, just is the code.

CALCULATE:

The user could get the result of calculation according to expressions like below:

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The consistence of drug = the quantity of drug / the volume of drug

The injection speed = does / the quantity of drug

The whole volume of drug = the injection speed * duration

The whole volume of drug = the volume of drug * duration

TABLE:

This option is the titration table as below,

Fig.6-13

1. R-STEP:

This is the speed pace option. The user could change the injection speed pace throughthis option. There are blank, 1, 2, 3, 4, and 5 six options could be selected. The default

value is 2.

2. D-STEP:

This is the option for the pace of the drug volume speed. The user could change the

pace of the drug volume speed through this option. There are blank, 1~10 eleven

options could be selected. The default value is 5mg/min.

3. R-DISP:

This is the fresh button for displaying the R-STEP. The user could get the result after

setting,

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4. D-DISP:

This is the fresh button for displaying the R-STEP. The user could get the result after

setting.

5. PAGE:

The user could change the display page through this button.

Fig.6-14

4 BED indicates the bed number of the patient being monitored when the Mercury

Patient Monitor is connected with the workstation; it always shows on the top left corner

in the monitor status frame.

NOTE

The item EXTEND is useful to the engineers and technicians to adjust the monitors

configurations. But for the doctors we do not propose them to use this item. As for the

details of the items usage please refer to the SERVICE MANUAL correspondingly.

CHAPTER 7 TABLE&TREND

The Mercury Patient Monitor provides 72-hour trend data of parameters and 72-hour table data.

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Table &Trend Setup

In monitoring status, rotate the knob to highlight the TABLE icon, and then press the

knob, the menu bar of Trend setup appears on the bottom of screen.

Fig.7-1

7.1 Table

Please select the TABLE to enter into the submenu, and then pick the record item to callup the following chart shown as Fig.7-2:

Fig.7-2

The latest 72-hour data table can be displayed at every 1 minute. The first column shows the

items of the parameters. The first and the second line of the table indicate the date and time of

measurement respectively. The left column of the table always shows the latest measurement.

Rotate the knob to turn pages. The page number is displayed on the bottom right corner. When

END appears, it indicates this is the last page of records.

When the interface shown as Fig.7-2, press SILENCE function key to enter the set page.

Rotate the knob to set the passing pages at each switch. Press SILENCE again to exit thepage setand then rotate the knob to turn the pages you want.

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7.2 BP table

Pick BP TABLE in the TREND MENU to call up the following chart as Fig.7-3:

Fig: 7-3

In the menu, when you press the start (NIBP) button which on the front panel, you will call up

the following chart:

Fig: 7.3a

7.3 GRAPH

Pick GRAPH in the TREND MENU to call up the following chart as Fig.7-4

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Fig.7-4

7.3.1 HR

Pick HR in the GRAPH MENU to call up the following chart as Fig.7-5:

Fig.7-5

7.3.2 NIBP

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Pick NIBP in the GRAPH MENU to call up the following chart as Fig.7-6:

Fig.7-6

7.3.3 SpO2

Pick SpO2 in the GRAPH MENU to call up the following chart as Fig.7-7:

Fig.7-7

7.3.4 ST

Pick ST in the GRAPH MENU to call up the following chart as Fig.7-8:

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Fig.7-8

7.3.5 CO2

Pick CO2 in the GRAPH MENU to call up the following chart as Fig.7-9:

Fig.7-9

7.3.6 TEMP

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Pick TEMP in the GRAPH MENU to call up the following chart as Fig.7-10:

Fig.7-10

7.4 OxyCRG

Pick OxyCRG in the TABLE MENU to call up the following chart as Fig.7-11:

OxyCRG show HR trendSPO2 trendRR trend in one screen. The first one is HR trend, the

second one is SPO2 trend, and the third one is RR trend.

Fig.7-11

7.5 ALARM

Pick the ALARM item to enter the setup of alarm event storage shown as Fig.7-12:

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100 alarm events can be totally recorded in the system.

Fig.7-12

7.6 Time

Four selections are available: 8hour, 24hour or 72 hour and ERASE. Rotate the knob to select

the item you want to set for TIME item. The length of trend of every parameter is accordance

with the time length you set in this sub-menu. ERASE indicates deleting all the stored data.

NOTE: having pressed ERASED button, you should power the monitor off and on again,

the data will be erased.

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CHAPTER 8 ALARM and SILENCE

This chapter gives the general information about the alarm function and corresponding remedies.

Alarm setup and prompt messages are provided in respective parameter setup sections.

8.1 Alarm Mode

When alarm occurs, The Mercury Patient Monitor may raise the users attention in two ways,

which are audio prompt and visual prompt. Physiological and technical alarms are displayed in

the displaying areas of the relative parameters.

ALARM function button on the front panel of the monitor, pressing the button will prohibit all the

technically and physically audio alarm for 3 minutes. The audio alarm will restore automatically

after 3 minutes or be activated when new alarm event occurs. As pressing the button, the icon in

menu status shows which indicates all the audio alarms have been shut off.

Alarm level and different soundThe high/medium/low-level alarms can be set according to the users setup in following different

audio ways, Level 1 is the most serious warning, level 2 is the serious warning and level 3 is the

general warning.

Alarm level Audio prompt

High(Level 1) Mode is DO-DO-DO---, the audio alarm is sent out continuously.Medium(Level 2) Mode is DODO-DODO-DODO, which is triggered once every 24

seconds.

Low(Level 3) Mode is DODO, which is triggered once every 24 seconds.

Alarm level Visual prompt

High(Level 1) the background of the parameter will turn red and flash

continuously

Medium(Level 2) the background of the parameter will turn blue and flash

continuously

Low(Level 3) the background of the parameter will turn white and flash

continuously

8.2 Alarm Setup

In monitoring status, rotate the knob to highlight the icon, and then press the knob, the

menu of alarm setup appears on the bottom of screen as shown below Fig.8-1:

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Fig.8-1

PROMPTThere are two methods to set the alarm of each parameter, one of which is setting all

alarms of every parameter when you press the icon, another is setting

ALARM in the individual menu of each parameter setup.

8.3 Common Method of Alarm Setup

In ALARM SETUP menu, you can set the alarm information of following parameters: HR,

NIBP, SpO2, RESP, TEMP, and ST. For example:

The methodto set up alarm information of ECG-HR:

Select ECG-HR in alarm menu to call up the sub-menu shown as below Fig. 8-2:

Fig. 8-2

Four items are available for the user to set up, which are HIGH (high limit), LOW (low limit),

and ALARM (OFF, HIGH, MEDIUM, and LOW). LEADOFF ALM (alarm of the leadoff).When

use the knob to select each item and press the knob, a pull-down list appears for the user to

choose his desired selection.

Fig.8-3

NOTE

Selecting ONOFF item for ON in sub-menu of the parameter only prohibits the

alarm of the relevant parameter individually.

If you select ONOFF item in sub-menu for OFF, even if the alarm icon is on,showing as the alarm will not be activated.

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Triggering the alarm function should simultaneously satisfy the three requests:

(1) Rotate knob and highlight in the frame of menu status to call up alarm

sub-menu of each parameter, keep ON/OFF items be ON. OR

enter the each parameter menu to keep ON/OFF item to be ON to open the alarmfunction of the monitor.

(2) Make SILENCE icon in the frame of menu status showing as

(3) Make ALARM icon in the frame of menu status showing as

Only when the user finished the three steps the monitor can alarm orderly when the alarm event

happens to the patient. The method for setting the alarm information of other parameters is the

same as HR.

8.4 Silence

PROMPT

The function is the same as the SILENCE function button on the front panel.

In monitoring status, rotate and press the knob on the icon it will change into,

indicating that all kinds of sound including the audio alarm and heart beep have been

manually muted until the button has been pressed again; the system will immediately

restore the normal status, and the icon shows

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CHAPTER 9 ECG MONITORING

9.1 What is ECG MONITORING

Monitoring the ECG produces a continuous waveform of the patients cardiac electric activity to

enable an accurate assessment of his current physiological state. Only proper connection of the

ECG cables can ensure satisfactory measurement. The Mercury Patient Monitor can display the

Heart Rate (HR), ST segment and Arrhythmia analysis. The ECG waveforms are showing on

the top of graphic area.

9.2 Precautions during ECG Monitoring

WARNING:

Do not touch the patient, table nearby, or the equipment during defibrillation.

Use only the original The Mercury Patient Monitor ECG cable for monitoring.

When connecting the cables and electrodes, make sure no conductive part is in

contact with the ground. Verify that all ECG electrodes, including neutral electrodes,

are securely attached to the patient.

9.3 Monitoring Procedure

9.3.1 Precondition

For patients skin is not in a good condition, which need to be preconditioned before placingelectrode in order to make the leads connect to skin tightly.

a)Washing skin completely using soap and water. Ether and pure alcohol is prohibited

because they can increase skins impedance.

b) Shave body hair on where electrodes are placed, if necessary.

c) Rub skin briskly to increase capillary flood flow in the tissues and remove skin scurf and

grease.

d) If electrodes without conducting cream are used, conducting cream should be smeared on

skin before placement.

Attach clip or snap to electrodes prior to placement.

Put the electrodes on the patient. Before attaching, apply some conductive jelly on the

electrodes if the electrodes are not electrolyte self-supplied.

Connect the electrode lead to the patients cable.

Make sure the monitor is ready with power supply.

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WARNING

Check everyday whether there is skin irritation resulted from the ECG electrodes. If

so, replace electrodes every 24 hours or change their sites.

Verify lead fault detection prior to the start of monitoring phase. Unplug the ECG

cable from the socket, the screen will display the error message LEAD OFF and the

audible alarm is activated.

9.3.2 Placing the electrodes for ECG monitoring

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For 5-lead set, attach the electrodes to the positions as below Fig.9-1

Fig.9-1

Color Coding:

AHA IEC Position on body surface

Electrode

Identifier

Colour

Code

Electrode

Identifier

Colour

Code

Right arm (RA) White R Red Right arm

Left arm (LA) Black L Green Left arm

Left leg (LL) Red F Yellow Left leg

Right leg (RL) Green N Black Right leg (neutral electrode)

Chest (C) Brown C White Signal movable Chest electrode

Electrode placement for 5-lead set as Fig.9-1:

Red(R) electrode: be placed near the right shoulder, directly below the clavicle.

Yellow (L) electrode: be placed near the left shoulder, directly below the clavicle.

Black (N) electrode: be placed on the right hypogastrium.

Green (F) electrode: be placed on the left hypogastrium.

White(C) electrode: be placed on the chest as illustrated in the Fig.9-2.

NOTE

To ensure patient safety, all leads must be attached to the patient.

For 5-lead set, attach the C- electrode to one of the indicated positions as below Fig.9-2:

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Fig.9-2 Placement of chest electrode

V1: the 4th intercostal space on the right sternum side

V2: the 4th intercostal space on the left sternum side

V3: center of the line connecting v2 and v4

V4: node of the left 5th intercostal space and the mid-clavicle line

V5: node with the left anterior axillary line at the same height with V4V6: node with the left mid-axillary line at the same height with V4

WARNING

When using electro surgery equipment, leads should be placed in a position in equal

distance from electro surgery electro tome and the grounding plate to avoid cautery.

Electro surgery equipment wire and ECG cable must not be tangled up.

The placing of ECG electrodes placement is depended on the type of operation. For example,

electrode can be placed in back or flank of chest for operation of opening chest. Sometime ECG

wave can be influenced with artificial because of using ES in operation room. In this case, placeelectrodes at left and right shoulder close with left and right side of abdomen and chest lead at

left side of internal in chest to avoid placing in upper arm, which will lead ECG wave smaller.

WARNING

When using electro surgery equipment, never place an electrode near the grounding

plate of the electro surgery device, otherwise there will be a great deal of interference

with the ECG signal.

ATTENTION For the movement of the lead cable will result in the inaccurate HR value, try to avoid theinterference. The Mercury Patient Monitor can detect ECG signal when at least standard three ECGleads are properly attached to the patient. Should one or more of the leads come off (or lose

good electrical contact), after the monitor has established that all related leads are attached,

a low-priority Lead Off alarm will be issued, alerting the caregiver to remedy the problem. When the leads are unattached from patients skin, LDOFF technical alarm will bedisplayed in the ECG displaying area.

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Mercury AKAS Portable Patient Monitor Manual ECG ERROR indicates ECG board with trouble. Please stop ECG monitoring at once andcontact with the distributor or Customer Service Dept.

9.4 ECG Screen

9.4.1 ECG displaying area

All the information related to ECG is displayed at ECG display area on the right upper of the

screen.

Fig.9-3

HR: Heart rate value.

ST mm: The height of ST segment.

LEAD: The lead of showing ECG waveform

ECG ERROR: Technical alarm of ECG module. It means that the module is in trouble.

LDOFF: Technical alarm means lead off, please check the connector of lead cable and

electrodes connection.

Analysis results

PROMPT

By picking ECG, the monitor prompts HR and activates HR beep. By picking SpO2, the

monitor prompts PULSE and activates pulse beep. Both mode display HR and PR

simultaneously, when this item is picked, PR parameter is displayed to the right side of

SpO2. As for the sound of HR or PR, HR is given the priority, i.e., if HR is available,

whose sound will be sent out, but if HR is not available, then the sound will be for PR.

9.4.2 ECG waveform

The ECG waveform shows on the left of the ECG numeric display area, whose color matcheswith the color of ECG parameter. A scale bar is displayed to the right side of ECG waveform asFig.9-4.

Fig.9-4

9.5 ECG Menu

In monitoring status, rotate the knob to highlight the ECG icon in the ECG displaying area, andthen press the knob, the menu of ECG setup appears on the bottom of screen as shown belowFig.9-5.

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Scale bar

ST segment

Heart rate

ECG lead

Analysis result


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This menu is available on the condition that you select DIA-MODE for FILTER MODE,

the relevant operation of FILTER MODE please refer to 9.5.6 instruction.

Pick ST setup item to call up the sub-menu as below Fig.9-8:

Fig.9-8

It defines the alarm setup of ST segment. There are three items are available for the user,

which are POSITIVE, NEGATIVE and ALARM.When using the knob to select each item and

press the knob, a pull-down list appears for the user to choose.

NOTE

If you select OFF for alarm item, the alarm will not be activated when alarm eventoccurs

(2) Press REPLAY item to call up the sub-menu shown as below Fig. 9-9:

Fig. 9-9

Having selected REPLAY item, the first trace of ECG waveform goes on showing the real-timepatients status, the second trace will replay the previous ECG waveform shows as Fig.9-10:

Fig.9-10

The menu defines the speed and length of replaying waveform.

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QUICK: replay the ECG waveform in the quick speed.

NORMAL: replay the ECG waveform in the normal speed.

SLOW: replay the ECG waveform in the slow speed.

TIME: 10 selections are available for the length of replaying waveform:

30s, 60s, 90s, 120s, 150s, 180s, 210s, 240s, 270s, 300s

(3) Pick HR V item to call up the analyzing chart of heart rate variation as Fig. 9-11:

Fig.9-11

LORENZE chart

LORENZE chart is a kind of way to analyze HR V by statistical method. The X axis of the

LORENZE chart is the n times RR interphase value (RR interphase is another way to denote the

HR value, it represents the time between the twice of R wave, if the HR value is 60

Documents

Mercury User Manual for Ver 8.0.10