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BEDSIDE MONITOR
Cinema Series
User Manual
TEPA Inc.- 2010
Cinema Series Manual
Copyright
Our company owns all rights to this unpublished work and intends to maintain this work as confidential. We may also seek to maintain this work as
an unpublished copyright. This publication is to be used solely for the purpose of reference, operation, maintenance, or repair of our equipment.
No part of this can be disseminated for other purposes.
In the event of inadvertent or deliberate publication, our company intends to enforce its right to this work under copyright laws as a published work.
Those having access to this work may not copy, use, or disclose the information in this work unless expressly authorized by our company to do so.
All information contained in this publication is believed to be correct. We shall not be liable for errors contained herein nor for incidental or
consequential damages in connection with the furnishing, performance, or use of this material. This publication may refer to information and
protected by copyrights or patents and does not convey any license under the patent rights of our company, nor the rights of others. Our company
does not assume any liability arising out of any infringements of patents or other rights of third parties.
Content of the manual is subject to change without prior notice.
ALL RIGHTS RESERVED
TEPA Inc. Ankara- Turkey
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Cinema Series Manual
CONTENT
CHAPTER 1 INTRODUCTION ............................................................... 7
1.1 About the Manual ................................................................................................................................7
1.2 Safety Information...............................................................................................................................7
1.3 Explanation of Symbols ......................................................................................................................8
1.4 Description of Abbreviation ...............................................................................................................8
CHAPTER 2 OVERVIEW OF MONITOR ................................................ 9
2.1 General Information ............................................................................................................................9
2.2 Special Feature....................................................................................................................................9
2.3 Appearance of Monitor .......................................................................................................................9
2.3.4 VF6 ........................................................................................................................................................................ 9
2.4 Screen display ...................................................................................................................................10
2.5 Specification ......................................................................................................................................12
CHAPTER 3 PATIENT SAFETY .......................................................... 17
3.1 Environment .......................................................................................................................................17
3.2 Condensation .....................................................................................................................................17
3.3 Grounding ...........................................................................................................................................17
CHAPTER 4 GETTING STARTED ....................................................... 18
4.1 Unpacking and Inspection ...............................................................................................................18
4.2 Connect the Power Cable ................................................................................................................18
4.3 Power on the Monitor .......................................................................................................................18
4.4 Connecting Patient Sensors ............................................................................................................18
4.5 Check the recorder ...........................................................................................................................18
4.6 Battery Installation ...........................................................................................................................18
CHAPTER 5 MENU TREE OF OPERATION ........................................ 19
5.1 SYSTEM MENU ..................................................................................................................................19
5.2 TREND AND TABLE MENU...............................................................................................................20
5.3 ALARM MENU ....................................................................................................................................20
5.4 SOUND MENU ....................................................................................................................................22
5.5 ECG MENU..........................................................................................................................................22
5.6 NIBP MENU ........................................................................................................................................23
5.7 SpO2 MENU........................................................................................................................................23
5.8 RESP MENU........................................................................................................................................24
5.9 TEMP MENU .......................................................................................................................................25
5.10 IBP MENU .........................................................................................................................................25
CHAPTER 6 SYSTEM MENU .............................................................. 26
6.1 Time ....................................................................................................................................................26
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Cinema Series Manual
6.2 Volume................................................................................................................................................26
6.3 Printer .................................................................................................................................................26
6.3.1 Performance of the recorder .............................................................................................................................. 26
6.3.2 Printing paper ...................................................................................................................................................... 26
6.3.3 Operation of the recorder menu ......................................................................................................................... 27
6.3.4 Printed content by the build-in recorder ............................................................................................................ 27
6.4 Color ....................................................................................................................................................27
6.5 Mode....................................................................................................................................................27
6.6 Extend.................................................................................................................................................30
CHAPTER 7 TABLE&TREND .............................................................. 32
7.1 Table ...................................................................................................................................................32
7.2 BP table ..............................................................................................................................................33
7.3 GRAPH ................................................................................................................................................33
7.3.1 HR ........................................................................................................................................................................ 34
7.3.2 NIBP ..................................................................................................................................................................... 34
7.3.3 SpO2 ..................................................................................................................................................................... 35
7.3.4 ST ........................................................................................................................................................................ 35
7.3.5 CO2 ...................................................................................................................................................................... 36
7.3.6 TEMP ................................................................................................................................................................... 36
7.4 OxyCRG ..............................................................................................................................................37
7.5 ALARM ................................................................................................................................................37
7.6 Time ....................................................................................................................................................37
CHAPTER 8 ALARM and SILENCE .................................................... 38
8.1 Alarm Mode ........................................................................................................................................38
8.2 Alarm Setup........................................................................................................................................38
8.3 Common Method of Alarm Setup ....................................................................................................38
8.4 Silence ................................................................................................................................................39
CHAPTER 9 ECG MONITORING......................................................... 40
9.1 What is ECG MONITORING? ............................................................................................................40
9.2 Precautions during ECG Monitoring ...............................................................................................40
9.3 Monitoring Procedure .......................................................................................................................40
9.4 ECG Screen ........................................................................................................................................41
9.4.1 ECG displaying area ............................................................................................................................................ 41
9.4.2 ECG waveform ..................................................................................................................................................... 42
9.5 ECG Menu ...........................................................................................................................................42
9.5.1 AMPLITUDE ......................................................................................................................................................... 42
9.5.2 ALARM ................................................................................................................................................................. 42
9.5.3 ECG ANALYSE and REPLAY................................................................................................................................ 42
9.5.4 CASCADE or LEAD ............................................................................................................................................... 45
9.5.5 SWEEP SPEED ..................................................................................................................................................... 45
9.5.6 OTHER ................................................................................................................................................................. 45
9.6 Maintenance and Cleaning ..............................................................................................................46
CHAPTER 10 NIBP MONITORING ..................................................... 47
10.1 Introduction......................................................................................................................................47
10.2 Preparation for Cuff.........................................................................................................................47
10.3 NIBP Displaying Area......................................................................................................................48
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Cinema Series Manual
10.4 Operation of NIBP Monitoring........................................................................................................48
10.4.1 BP TYPE ............................................................................................................................................................ 48
10.4.2 ALARM ............................................................................................................................................................... 48
10.4.3 UNIT .................................................................................................................................................................. 48
10.4.4 CYCLE ................................................................................................................................................................ 48
10.4.5 MODE ................................................................................................................................................................. 49
10.4.6 STAT .................................................................................................................................................................. 49
10.5 Pressure Safety Protection............................................................................................................49
10.6 Maintenance and Cleaning ............................................................................................................50
CHAPTER 11 SpO2 MONITORING ..................................................... 51
11.1 What is SpO2 Monitoring................................................................................................................51
11.2 Precautions during SpO2/Pulse Monitoring .................................................................................51
11.3 Monitoring Procedure .....................................................................................................................51
11.4 SpO2 Displaying Area .....................................................................................................................52
11.5 Operation of SpO2 Monitoring .......................................................................................................52
11.6 Maintenance and Cleaning ............................................................................................................53
CHAPTER 12 RESP MONITORING ..................................................... 54
12.1 How to Measure RESP ...................................................................................................................54
12.2 Setting up RESP Measurement .....................................................................................................54
12.3 Procedures of RESP Measurement ..............................................................................................54
12.4 RESP Displaying Area .....................................................................................................................54
12.5 Operation of RESP Monitoring.......................................................................................................54
12.6 Maintenance and Cleaning ............................................................................................................55
CHAPTER 13 TEMP MONITORING .................................................... 56
13.1 Procedure of TEMP Measurement................................................................................................56
13.2 TEMP Displaying Area ....................................................................................................................56
13.3 Operation of TEMP Monitoring ......................................................................................................56
13.3.1 ALARM ............................................................................................................................................................... 56
13.3.2 UNIT .................................................................................................................................................................. 56
13.4 Maintenance and Cleaning ............................................................................................................56
CHAPTER 14 IBP MONITORING ........................................................ 57
14.1 Introduction......................................................................................................................................57
14.2 Precautions during IBP Monitoring ...............................................................................................57
14.3 Monitoring Procedure .....................................................................................................................57
14.4 IBP Displaying Area ........................................................................................................................58
14.5 Operation of IBP Monitoring ..........................................................................................................58
14.5.1 BP TYPE ............................................................................................................................................................ 58
14.5.2 ALARM ............................................................................................................................................................... 58
14.5.3 UNIT .................................................................................................................................................................. 58
14.5.4 BASELINE .......................................................................................................................................................... 58
14.5.5 SCALE ................................................................................................................................................................ 58
14.5.6 Label .................................................................................................................................................................. 58
14.6 IBP Calibration.................................................................................................................................59
14.6.1 Zeroing the Transducer .................................................................................................................................... 59
14.6.2 Mercury manometer calibrations ..................................................................................................................... 59
14.7 Maintenance and Cleaning ............................................................................................................60
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Cinema Series Manual
CHAPTER 15 Et-CO2 OR ANAESTHESIA GAS MONITORING ........... 61
15.1 Assembling the patient sampling kit............................................................................................61
15.2 Operation of Et-CO2 Monitoring ....................................................................................................62
15.3 Et-CO2 calibration ...........................................................................................................................63
CHAPTER 16 MAINTENANCE AND TROUBLESHOOTING ................ 64
16.1 Maintenance ....................................................................................................................................64
16.2 Troubleshooting ..............................................................................................................................64
16.3 Warranty and Repair .......................................................................................................................65
16.3.1 Warranty and repair content............................................................................................................................. 65
16.3.2 Exemption and restriction: ............................................................................................................................... 65
16.3.3 Customer guarantees: ...................................................................................................................................... 65
16.3.4 Non-warranty and Non-replacement Policy ..................................................................................................... 65
16.3.5 Customer special warranty period ................................................................................................................... 66
16.3.6 Repackaging ..................................................................................................................................................... 66
16.4 Storage and Transportation...........................................................................................................66
Appendix ............................................................................................ 67
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Cinema Series Manual
CHAPTER 1 INTRODUCTION
1.1 About the Manual
This manual explains how to set up and use the patient monitor. Important safety information relating to general use of the patient monitor
appears in front of this manual. Other important safety information is located throughout the text where appropriate. Before using the patient
monitor, read this manual carefully so that the user can operate the patient monitor properly and make it reach the specific safety standard
and performance index.
Note: The illustrations used in this manual may differ slightly from the appearance of the actual product.
1.2 Safety Information

The 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 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 using the equipment, check out 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.

Be sure to use anti-defibrillation 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 diagnose patient.

The medical equipment must be manipulated by professional 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 accessories for pediatric or infant 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 you are uncertain about the accuracy of any measurement, first check the patient‟s vital signs by alternate means and then make
sure the monitor is functioning correctly.

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 device‟s 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 the recommended intervals as described in the manual.

If the patient monitor needs to be used continuously chronically, please note to connect the patient monitor with the main power
supply by the alarm of battery, otherwise, the patient monitor will automatically shut down, which leads to the break-off of the
monitoring.

Do not use the patient monitor during Magnetic Resonance Imaging (MRI) scanning. Induced current could potentially cause burns.
The patient monitor may affect the MRI image, and the MRI unit may affect the accuracy of the patient monitor measurements.
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Cinema Series Manual

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.

If any code label of parts is damaged or missing, the warranty shall become null and void. For more information, please refer to
Chapter 16.3 Warranty and Repair.

DO NOT put the batteries together with metal objects, such as keys, pens, knives, etc. As these may cause short circuit.

BE SURE TO USE the batteries supplied by our company.

BE SURE TO USE OR CHARGE THE TWO BATTERIES TOGETHER for monitor M10 OR M12.

Charge the batteries about two months if the batteries will not be used for a long time, because of the battery self-discharge.
1.3 Explanation of Symbols
I
Attention!Refer to the relevant prompt.
Resistant defibrillator
BF type equipment
According to the type of protection against electrical
shock:
Class I Equipment
Heart Beat Detected
Manufacture date
Manufacture address
Rotated knob
Counter-clockwise and clockwise
Power on/off
Alarm on
Alarm off
Sound on
Silence
System setup menu
Trend menu
Equipotential grounding terminal
AC 50/60 HZ
Fuse
Battery status icon
This symbol indicates that the instrument is IEC 60601-1 Type CF equipment. The unit displaying this symbol contains
an F-type isolated (floating) patient applied part providing a high 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.
1.4 Description of Abbreviation
HR:
ECG:
heart rate 2-channel or 7-channel ECG
waveform
M:
mean blood pressure
SPO2:
arterial oxygen saturation
SpO2 Plethysmogram
D:
diastolic
NIBP:
non-invasive blood pressure
PR:
pulse rate
IBP:
RR:
respiration rate
Respiration Waveform
S:
invasive blood pressure
IBP1 SYS, DIA, MAP
IBP2 SYS, DIA, MAP
Dual-IBP waveforms
Systolic
TEMP:
Et CO2:
end-tidal CO2 concentration
Ins CO2:
temperature channel 1
temperature channel 2
Temperature Difference between two channels (TD)
Inspired Minimum CO2
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Cinema Series Manual
CHAPTER 2 OVERVIEW OF MONITOR
2.1 General Information
The instrument is a portable patient monitor that has abundant monitoring functions and is used for the clinical monitoring of adult, pediatric and
infant. In addition, the user may select the different parameter configuration according to different requirements.
The patient monitor can be connected to the central monitoring system via our company‟s network so as to form a network monitoring system.
2.2 Special Feature

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 most in the screen

Display 7-lead ECG waveforms in one screen simultaneously

3-level audible and visual alarm

Adjust volume more accurately by digital system

Menu design adopts Huffman decoding, 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
2.3 Appearance of Monitor
2.3.1
Fig. 2-9
①
Alarm Indicator light
High level: the alarm indicator light flashes in red color.
Medium level: the alarm indicator light flashes in orange color.
Low level: the alarm indicator light flashes in green color.
②
ALARM
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Cinema Series Manual
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 restored automatically 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 counts down for alarm
on the position same as one of DEMO on the top of the screen.
NOTE: When
mark appears, the system can not give the audible alarm prompt. Therefore, the operator should use this
function carefully.
③
SILENCE
SILENCE button, when pressing the button, this
icon 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 is shown as
④
.
FREEZE
FREEZE 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.
⑤
NIBP
Start/Cancel NIBP 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 (NON-STOP)” measuring mode.
⑥
PRINT
PRINT button, pressing this button will motivate the recorder or desktop printer to output the results if the monitor is equipped with recorder
(optional).
⑦
REFRESH
REFRESH button, pressing the button will exit the submenu and refresh the screen.
⑧
Rotary Knob
The operator uses the rotary knob to select the menu item 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
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 the menu.
⑨
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
Green and flash: internal battery power supplying and battery power is insufficient.
Side Panel, Recorder and Rear panel are the same to those of S6.
2.4 Screen display
The display screen of patient monitor is TFT LCD, which displays the patient parameters, waveforms, historical data and monitor status.
When STANDARD mode is selected, the display screen is shown as Fig. 2-21 in which the screen is divided into six areas: (A) monitor status
frame, (B) graphic display area (waveforms), (C) the table of historical data, (D) numeric display area, (E) menu bar, (F) frame of menu status.
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Cinema Series Manual
Fig. 2-21
When IBP EXT mode is selected, the display screen is shown as Fig. 2-22 in which the screen is divided into five areas: (A) monitor status frame,
(B) graphic display area, (C) numeric display area, (D) menu bar, (E) frame of menu status.
Fig. 2-22

Monitor status frame
Monitoring status frame is on the top of display screen.
(1) BED: indicates the bed number of the patient being monitored when the patient monitor is connected with the Central Monitoring System
Workstation.
(2) 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.
In normal monitoring mode, this position shows Battery Status Icon and monitor inner temperature.
Remaining Battery Power Indicator (Battery Status Icon
): The icon is dynamic. It is in the form of a “gauge” providing a graphic indication
of remaining battery power. There are four shapes of the indicator: the centre with 3 bars (full), 2 bars, 1 bar, empty and the frame in red. The
frame of indicator turns red when low battery power is detected by the monitor. At this time you should immediately plug the AC power supply
cable into the socket. Or else, the indicator displays with a red frame constantly when battery capacity reaches critical condition at which time
the monitor shuts down.
The Monitor Inner Temperature Indicator( shown as 53 ℃): The indicator‟s color will turn red when the monitor inner temperature is higher than
the alarm limit. You can set the alarm limit, for the detailed information, please refer to Section 6.6 Extend.
(3) Start Time: indicates the time powered on the monitor, which is shown as “18:28”.
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Cinema Series Manual
(4) Current Time: indicates the date and the current time, which is shown as “12/24/2007 19:12:57”

Graphic display area
The graphic displaying area is on the left side of display screen. It can maximally display 4, 6 or 9 waveforms. The displaying order of the
waveforms on the screen can be adjusted. The colour of waveform matches with the parameters‟ colour on the right of the screen. For the
maximum configuration, the waveforms provided by the system for selection are (from up to down):
(5) 2-lead or 7-lead ECG waveforms
① 2-lead: When you select the STANDARD mode or IBP EXT mode, it will display 2-channal ECG waveforms. The two channels of ECG
waveforms show different leads, lead selection is I、II、III、aVL、aVR、aVF、V ,you can set it as you like, the lead status of showing waveform
displays on the left of ECG waveform.
② 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 System
Menu.
(6) SpO2 waveform
(7) 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 patient‟s respiration, the CO2 waveform will instead of the RESP waveform acquired by Trans-thoracic impedance. For the detailed
operation, please refer to Chapter15 Et-CO2 Monitoring.
(8) Two IBP waveforms (optional)
If operator selects STANDARD mode, the table of historical data will be instead of 2 IBP waveforms. For the detailed operation, please refer to
Chapter 14 IBP monitoring.

Numeric display area
The numeric displaying area lies on the right side of the graphic area, which includes:
(9) ECG: heart rate (unit: beats/minute)
(10) NIBP: there are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa)
(11) IBP: the BP of channel 1 and 2. There are Systolic pressure, Mean pressure and Diastolic pressure (unit: mmHg or kPa).
(12) SpO2: SpO2(unit: %)
Pulse rate (unit: beats/minute)
(13) RESP: Respiration Rate (unit: breaths/minute)
Et-CO2: unit: mmHg or kPa
(14) TEMP: temperature of channel 1 and 2 (unit: ℃ or ℉)

Menu bar
The menu always occupies the fixed position on the bottom of the screen. It shows the different sub-menu of every operation, users can set the
system configuration and perform operation. For the detailed operation please refer to Chapter 6 to Chapter 15.

Frame of menu status
Frame of menu status is on the bottom right of the screen.
(15) System setup: you can configure various aspects of the monitor, including system time, simulation, print setup, color, display wave mode,
language, etc. For the detailed operation please refers to Chapter 6 System Menu.
(16) Table&Trend: the function is for operator observing the patient‟s latest 72 hours change, including historical data table, HR, NIBP, SpO2,
ST,TEMP,CO2. For the detailed operation please refer to Chapter 7 Table&Trend.
(17) Alarm on/off: shows the status of alarm on
or off
(18) Silence on/off: shows the status of silence on
or off
. For the detailed operation please refer to Chapter 8 Alarm and Silence.
. For the detailed operation please refers to Chapter 8 Alarm and Silence.
2.5 Specification
Environment
The operating environment should comply with the following conditions:
Operating Temperature:
5℃~40℃
Relative Humidity:
≤80%, non-condensing
Atmospheric pressure:
86kPa~106kPa
The transport and storage environment should comply with the following conditions:
Storage Temperature:
-20℃~55℃
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Cinema Series Manual
Relative Humidity:
≤93%, non-condensing
Atmospheric pressure:
50kPa~106kPa
Display
Model
Screen Size (inch)
Type
S6
10.4
640X480 pixel color TFT
P6
10.4
640X480 pixel color TFT
SF
12.1
800X600 pixel color TFT
VF6
12.1
800X600 pixel color TFT
M3
8.4
800X600 pixel color TFT
M10
10.4
640X480 pixel color TFT
M12
12.1
800X600 pixel color TFT
S61
10.4
640X480 pixel color TFT
P61
10.4
640X480 pixel color TFT
Displayed Parameters
Time
Battery-backed quartz crystal clock
Alarms
High and low limits selectable on patient parameters
ECG
ECG Waveform Scale
Heart Rate
Derived from ECG or SpO2
NIBP
Pressure (systolic, mean and diastolic)
Pulse Oximeter
Pulse Rate, SpO2 waveform, and oxygen saturation.
Respiration Rate
Respiration rate derived from ECG.
Trends
HR, RR, NIBP, ST, TEMP, CO2 and SpO2
Temperatures
Two channels
Trace Freeze
Trace A or B
ECG
Protected against defibrillator and electrosurgery potentials.
Standard Lead
I, II, III, aVL, aVR, aVF, V
Display Gain Scales
2.5mm/mV,5mm/mV,7mm/mV,10mm/mV,15mm/mV, 20mm/mV, 25mm/mV
Sweep Speed
12mm/s, 25mm/s, 50mm/s
Input Resistance
> 5M Ohm (at 10 Hz, not including patient cable)
Frequency Response
Operation mode, bandwidth: 1 ~ 25 Hz
Monitor mode, bandwidth: 0.5 ~75 Hz
Diagnosis mode, bandwidth: 0.05 ~120 Hz
CMRR
> 89 dB (at 50Hz,20V)
Electrode Offset potential
Maximum ±0.3V
Input circuit current
<0.1 uA
Drain current
< 10 uA
Baseline Recovery
<5s after 5KV defibrillation
ECG signal range
 5 mV (Vp-p)
Standard signal
1mV ± 5%
Heart Rate range
15 to 300bpm
Resolution
1bpm
Accuracy
<100bpm ±1; ≥100bpm ±2%
Isolation Barrier Between Power
4kV
Supply and Patient Connections
Alarm
Heart rate high or low limit alarm delay<12s
ST segment
ST segment range
-0.8mV to +0.8mV
Accuracy
±0.02mV
SpO2
Display range
20% to 99%
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Cinema Series Manual
Measurement range
0 to 100%
Accuracy
80%~99%:±2; 70%~79%:±3; 0~69% Unspecified
LED Specifications
Wavelength
Radiant Power
RED
660±2nm
1.8mW
IR
905±10nm
2.0mW
Alarm delay
SpO2 high and low limits alarm delay<7s
Display Update
<5s
Resolution
1%
Pulse Rate
Display range
20 bpm to 254bpm
Measurement Range
30 bpm to 235bpm
Resolution
1bpm
Accuracy
30 bpm -100 bpm, ±2bpm; 101 bpm -235 bpm, ±2%.
Alarm delay
Pulse rate high or low limit alarm delay<7s
NIBP
Technique
Oscillometric method (with inflatable cuff)
Determines systolic, diastolic and mean arterial pressures
Patient Types
Adult and Infant
Cuff Inflation Time
Cuff Inflation Pressure
3-15 seconds depending on cuff size.
Adult/Infant, inflation pressures determined by the settings.
Deflation mode
Stepwise pressure deflation
Manual: Immediate upon operator command
Measurement Modes
AUTO: Determinations automatically made with selectable intervals
STAT: Determinations continues in 5 minutes
The Initial Inflation Pressure
Adult: 140,150,160,180mmHg; Infant: 70,100,120mmHg
Measurement Interval Time
1-240min
Step:1min(1-10min),5min(10-30min),10min(30-90min), 30min(90-240min)
Measurement Range
Adult
Systolic
30-255mmHg
Mean Arterial
20-235mmHg
Diastolic
15-220mmHg
Measurement Range
Infant
Systolic
30-135mmHg
Mean Arterial
20-125mmHg
Diastolic
15-110mmHg
Pressure Resolution
1mmHg
Cuff Pressure Accuracy
Cuff Pressure Range: 0 to 280mmHg, Accuracy: ±3mmHg
Dynamic Accuracy
Mean difference: ±5mmHg; Standard deviation: ±8mmHg
Sofetware Overpressure Protection
Automatically releases cuff pressure if inflation pressure exceeds: 28010 mmHg (Adult)
/ 1455 mmHg (Infant)
Automatically releases cuff pressure if inflation pressure exceeds: 30010 mmHg (Adult)
/ 15010 mmHg (Infant)
Hardware Overpressure Protection
Leakage rate
Less than 4 mmHg/minute
Zero transducer
Before every measuring
Overtime Protection (Adult/Infant)
Stop determinates if the measurement time exceeds 120s/90s.
Alarm delay
Pressure high or low limit alarm delay<7s
RR
Technique
Trans-thoracic impedance (RA-LL, RA-LA)
Range
0-100 rpm
Resolution
1 rpm
Accuracy
 2 rpm or  2%
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Cinema Series Manual
Alarm delay
Respiration rate high and low limits alarm delay<7s
Apnea alarm
5-90 seconds
Differential Input Impedance
>2.5M ohm
Measurement impedance range
0.5~3 Ohm
Baseline impedance range
500~4000 Ohm
Frequency response
0.16 ~ 1.5 Hz
TEMP
Technique
Resistance
Channel
2 (T1 and T2)
Scales
℉Or ℃
Probes
Resistive; recta and skin (reusable and disposable)
YSI 400 Series types
Range
0~60℃
Revolution
0.1℃
Accuracy
±0.1℃
Alarm delay
Body temperature high or low limit alarm delay<7s
IBP (Optional)
Range
-6.67kPa(-50mmHg)~46.67kPa(350mmHg)
Accuracy
≤13.33kPa (100mmHg)
±0.27kPa (2mmHg) ;
≥ 13.33kPa (100mmHg)
±2%
Gain Accuracy
0.5%
Bandwidth
0 to 12 Hz
Sensitivity
5uV/V/mmHg
Inspiration Voltage
5V (DC)
Isolation Voltage
4 kV
ETCO2 (Optional)
Sampling Method
Side-stream sampling system with a 50 ml/minute low sampling rate
Measurement Mode:
Side-stream
Display range:
0-150rpm
Measurement range:
0-150 rpm
Accuracy:
0 - 40 mmHg, ± 2 mmHg
41 - 70 mmHg, ± 5% of reading
71 - 100 mmHg, ± 8% of reading
* NOTE: Gas temperature at 25° C.
Resolution
1 mmHg
Power Requirements
Power Supply:
100~230VAC,50/60Hz 1.6A max
Internal Battery:
12V;
Operating Time(fully charged battery):
2 hours typical at 25℃, no printing, one NIBP measurement per 15 min.
Battery information
Model
Type
Capacity
Quantity
S6
Ni-MH rechargeable
4000mAH
1 group
P6
Ni-MH rechargeable
4000mAH
1 group
SF
Ni-MH rechargeable
4000mAH
1 group
VF6
Ni-MH rechargeable
4000mAH
1 group
M3
Ni-MH rechargeable
2100mAH
1 group
M10
Ni-MH rechargeable
2400mAH
2 group
M12
Ni-MH rechargeable
2400mAH
2 group
S61
Ni-MH rechargeable
4000mAH
1 group
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Cinema Series Manual
P61
Ni-MH rechargeable
4000mAH
1 group
Battery life (type: Ni-MH rechargeable):
The cycle life of the battery is more than 500 cycles while with capacity ≥70% after 300 cycles.
Dimension and Weight
Model
Dimension
Weight (without battery)
S6
345mmX198mmX240mm
3.8kg
P6
350mmX190mmX250mm
3.9kg
SF
345mmX200mmX240mm
4.0kg
VF6
380mmX220mmX330mm
4.2kg
M3
285mmX120mmX243mm
3.5kg
M10
312mmX173mmX294mm
4.4kg
M12
312mmX197mmX258mm
5.4kg
S61
345mmX212mmX240mm
4.5kg
P61
368mmX200mmX240mm
3.9kg
Alarm Range
Parameter
HR
(bpm)
Systolic
(kPa)
(mmHg)
Diastolic (kPa)
(mmHg)
Mean Arterial
(kPa)
(mmHg)
SpO2
(%)
RR
(rpm)
TEMP
(℃)
(Fº)
CO2
(mmHg)
PR
(bpm)
Upper limit
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
40-254
Lower limit
15-160
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
20-160
Default Alarm Setup
Parameter
HR (bpm)
Upper limit
120
Lower limit
50
Systolic
(kPa)
(mmHg)
21.3
160
12.0
90
Diastolic
(kPa)
(mmHg)
12.6
95
8.0
60
Mean Arterial
(kPa)
(mmHg)
14.6
110
8.0
60
SpO2
(%)
RR
(rpm)
100
20
80
5
TEMP
(℃)
(Fº)
39.5
103.1
36
96.8
CO2
(mmHg)
PR
(bpm)
50
120
20
50
Notes:
◇ Specifications may be changed without prior notice.
◇ The circuit diagrams, the list of components, the illustration of diagrams, and the detailed rules of calibration, are provided exclusively to
professional personnel authorized by our company.
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Cinema Series Manual
CHAPTER 3 PATIENT SAFETY
The portable patient monitor is designed to comply with the International Safety requirements for medical electrical equipment. This device has
floating inputs and is protected against the effects of defibrillation and electrosurgery. 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 patient monitor will be used should be
reasonably 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 front for operation and sufficient room at the rear for servicing with the cabinet access door open.
The Patient Monitor operates within specifications at ambient temperatures between 5℃ 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) space around 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 patient monitor must be grounded. Accordingly, the 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.
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Cinema Series Manual
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.
4.2 Connect the Power Cable
Connection procedure of the AC power line: Make sure the AC power supply complies with following specification: 100-230 (VAC), 50/60 (Hz).
⑴ Apply the power line provided with the monitor. Plug the power line to the power socket on the rear panel.
⑵ 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 the POWER button (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 so as to reserve sufficient power in battery.

The interval between twice presses of POWER should be more than 1 minute.
WARNING: If any sign of damage is detected, or the monitor‟s display some error message, do not use it on any patient. Contact the biomedical
engineer in the hospital or the distributor immediately.
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.
4.6 Battery Installation
The battery of the patient monitor has installed inside of monitor and do not need being installed.
Fig. 4-2
Battery maintenance:

BE SURE TO USE the batteries supplied by our company.

Charge the batteries about two months if the batteries will not be used for a long time, because of the battery self-discharge.

BE SURE TO USE OR CHARGE THE TWO BATTERIES TOGETHER for monitor M10 OR M12.

DO NOT put the batteries together with metal objects, such as keys, pens, knives, etc. As these may cause short circuit.
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Cinema Series Manual
CHAPTER 5 MENU TREE OF OPERATION
For giving operators a succinct direction about operations, the following MENU TREE 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. You‟d better keep the background color to black for getting the better view.

SYSTEM SETUP-EXTEND-SYSTEM: the function is set by manufacturer, please keeps them constant.

NIBP mode: if the inflating pressure is selected between 70~120mmHg, the monitored patient should be an infant; if the inflating pressure is
selected between 140~180mmHg, the monitored patient should be an adult.
5.1 SYSTEM MENU
Pick the SYSTEM icon
SYSTEM
SETUP
to access the system setup menu:
TIME
YEAR
MONTH
DAY
HOUR
MINUTE
SECOND
VOLUME
1-7
PRINTER
PRINTER
CS-TR48
GRID
ON
OFF
5SECONDS
10SECONDS
15SECONDS
20SECONDS
25SECONDS
30SECONDS
TIME
ALARM
ON
OFF
CYCLE
OFF
1--480MIN
WAVE
COLOR
MODE
EXTEND
BP
SPO2
RESP
TEMP
ECG
BGROUND
NONE
ECG
SpO2
ECG+SPO2
RESP
ECG+RESP
SPO2+RES
3 CHANNEL
STANDARD
GRAPH EXT
ECG EXT
LARGEFONT
IBP EXT
SYSTEM
DEMO
SWITCH
- 19 -
AUTO
OFF
ON
Cinema Series Manual
>
ALARM
HIGH
FAN
ON/OFF
CHANNEL
LEAD SEL
ECG
FROM
PACE
SEL
808 ID
SEND
SETUP
RECEIVE
SPFC
OFFLINE
1~250
BED
RETURN
5.2 TREND AND TABLE MENU
Pick “TREND” icon
TABLE &
TREND
to access the trend menu:
TABLE
BP TABLE
>>
>>
CHART
>>
>>
CHART
GRAPH
HR
NIBP/IBP1/IBP2
SPO2
ST
CO2
TEMP
OxyCRG
ALARM
>>
>>
CHART
>>
>>
CHART
TIME
erase
8hour
24hour
72hour
>
>
OK
5.3 ALARM MENU
Pick “ALARM” icon
ALARM
to access the ALARM menu:
HR
HIGH
LOW
ALARM
LEAD ALM
- 20 -
OFF
HIGH
MEDIUM
LOW
ON
>
ON/OFF
>
>
>
>
>
CHAN I
3 LEAD/
5 LEAD
LEAD
I,II,III.
ON/OFF
OK/--
Cinema Series Manual
OFF
BP
SYS
HIGH
LOW
MEAN
HIGH
LOW
DIAS
HIGH
LOW
ALARM
CALIBRAT
OFF
HIGH
MEDIUM
LOW
ON
OFF
SPO2
PR ALARM
PR HIGH
PR LOW
ALARM
PROBEALM
ON
OFF
HIGH
LOW
ALARM
RESP
HIGH
LOW
ALARM
APNEA
TEMP
OFF
HIGH
MEDIUM
LOW
OFF
HIGH
MEDIUM
LOW
ON
OFF
HIGH
LOW
ALARM
DIFFEREN
CO2
HIGH
LOW
- 21 -
OFF
HIGH
MEDIUM
LOW
0.1--20.0
OFF
ON
OFF
Cinema Series Manual
OFF
HIGH
MEDIUM
LOW
ALARM
5.4 SOUND MENU
Press “SOUND” icon
The icon
, the icon is turn to
indicates the sound is on; the icon
.
indicates the sound is off.
5.5 ECG MENU
Pick “ECG” area in the display to access to the ECG menu:
ECG
AMPLITUDE
ALARM
2.5mm/mV
5mm/mV
7mm/mV
10mm/mV
15mm/mV
20mm/mV
25mm/mV
HIGH
LOW
OFF
HIGH
MEDIUM
LOW
ALARM
ANALYSIS
LEAD ALM
ON
OFF
ST SETUP
POSITIVE
NEGATIVE
ALARM
FAST
NORMAL
SLOW
TIME
REPLAY
>
HR V
FAST
SLOW
ANALYSIS
NIBP CTR
HR A
SPEED
OTHER
CHART
ON
OFF
ANA
CASCADE
>
ON
OFF
12.5 mm/s
25mm/s
50mm/s
FILTER
DIA-MODE
MON-MODE
OPR-MODE
ON
OFF
BEEP
- 22 -
ON
OFF
Cinema Series Manual
HR FROM
ECG
SPO2
SWITCH-F
ON
OFF
RETURN
5.6 NIBP MENU
Pick “NIBP” area in the display to access to the NIBP menu:
NIBP
TYPE BP
(IBP EXT)
NIBP
IBP1
IBP2
ALARM
SYS
HIGH
LOW
MEAN
HIGH
LOW
DIAS
HIGH
LOW
ALARM
CALIBRATE
UNIT
mmHg
kPa
CYCLE
MANUAL
1-240min
MODE
AUTO
70-180mmHg
STAT
ON
OFF
OFF
High
Medium
Low
ON
OFF
5.7 SpO2 MENU
Pick “SpO2” area in the display to access to the SpO2 menu:
SPO2
AMPLITUDE
AVERAGE
1-5
4
8
16
PR SOUND
ON
OFF
ALARM
PR ALARM
HIGH
LOW
ALARM
- 23 -
Cinema Series Manual
PROBE ALARM
ON
OFF
HIGH
LOW
ALARM
OFF
HIGH
MEDIUM
LOW
FILL
LINE
WAVEFORM
5.8 RESP MENU
Pick “RESP” area in the display to access to the RESP menu:
RESP
AMPLITUD
1-12
TYPE
IMPED
CO2
ALARM
HIGH
LOW
ALARM
APNEA
CO2 SETUP
OFF
HIGH
MEDIUM
LOW
OFF
5-90 sec
HIGH
LOW
ALARM
InsCO2
OFF
HIGH
MEDIUM
LOW
ON
OFF
①
COMPENSA
OTHERSET
ETCO2
NORETIME
ZEROGT
UNIT
②
PUMP
UNIT
- 24 -
90ml/min
150ml/min
200ml/min
OFF
mmHg
BAR PRE
O2
ANE AGEN
FGTEMP
BAL GAS
ZERO
>>
>>
>>
>>
>>
>>
400-850
0-100
0.0-20.0
0.0-50.0
Helium
OK
Cinema Series Manual
%
RES FROM
RES MUL
FIL TER
808 RESP
>>
>>
>>
>>
>>
>>
OFF/LA/LL
0.5/1/2/4
ON/OFF
RETURN
NOTE: The menu ① OTHERSET will be available when the CO2 module “LOFLO” has been set; the menu ② PUMP and UNIT will be available
when the CO2 module “WELLyn” or “CPT” has been set. The related operations are described in the Chapter 15 Et-CO2 MONITORING.
5.9 TEMP MENU
Pick “TEMP” area in the display to access to the TEMP menu:
TEMP
UNIT
C
F
ALARM
HIGH
LOW
ALARM
DIFFEREN
OFF
HIGH
MEDIUM
LOW
OFF
0.1-20.0
5.10 IBP MENU
Pick “IBP” area in the display to access to the IBP menu:
IBP
BP TYPE
IBP1
IBP2
ALARM
SYS
HIGH
LOW
MEAN
HIGH
LOW
DIAS
HIGH
LOW
ALARM
CALIBRATE
UNIT
mmHg
KPa
BASELINE
0-50
SCALE
LABEL
5, 10, 20,
40mmHg
60, 80mmHg
100, 200, 300,
400mmHg
ABP
CVP
PAP
- 25 -
OFF
HIGH
MEDIUM
LOW
ZERO
ADJUST
Cinema Series Manual
CHAPTER 6 SYSTEM MENU
The Portable Patient Monitor features flexible configurations. You can configure various 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
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
Users may select different level of volume as per clinical requirement. There are 7 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
⑴ It can record up to 3 waveforms.
⑵ Output with grid selectable
⑶ The real-time recording and waveform are user-configurable.
⑷ Auto recording interval is set by the user, the waveform is in accordance with the real time recording.
⑸ The alarm recording waveform is automatically selected by the monitor.
6.3.2 Printing paper
⑴ 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.
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.
⑵ Paper replacement
Fig. 6-3
Paper Replacement procedure:
① Open the door by pressing the Eject Button on the top right of the recorder. The door should tilt open. If the printer‟s door does not open
comletely, pull it towards you until it is completely open.
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Cinema Series Manual
② Remove the spent paper core.
③ Place a new roll of paper into the paper cassette with a few inches of paper being unrolled. Ensure proper orientation of paper roll.
④ Close the paper cassette door with a few inches of paper being kept outside of the door.
6.3.3 Operation of the recorder menu
Select “PRINTER” in “SYSTEM SETUP” menu to call up the following menus:
Fig. 6-4
(1) PRINTER: set the drive program type of the 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 patient‟s status. Pressing “OFF”, there will be only printed waveforms on the paper.
⑶TIME: represents the length of the printing time, 6 selections are available : “5s,10s,15s,20s, 25s,30s”. It means that the recorder will last
to print the waveform for the length of time you chosen.
⑷ ALARM: Select “ON” for this item, the printer will print alarm event when it occurs.
⑸ CYCLE: Represent “time interval between two times of timing recording”. “OFF and 1Min ~480Min” is 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) Wave:The waveforms to be printed can be selected. The options are available “ECG, SpO2, ECG+SpO2, RESP, ECG+ RESP, SpO2+RESP,
3 CHANNEL, None”.
① ECG: The ECG waveform can be printed on the screen. If no ECG waveform is currently displayed on the screen, the waveform will be
printed as a beeline on the paper.)
② SpO2: The SpO2 plethysmogram can be printed on the screen. If there is no SpO2waveform being currently displayed on the screen,
the waveform will be printed as a beeline on the paper.
③ ECG+SpO2: The ECG waveform and SpO2 plethysmogram can be printed.
④ RESP: The Respiration waveform can be printed on the screen. If no RESP waveform is currently displayed on the screen, the
waveform will be printed as a beeline on the paper. If Et CO2 module is working, CO2 waveform will be printed instead of RESP
waveform.
⑤ ECG+RESP: The ECG waveform and Respiration waveform can be printed on the screen.
⑥ SpO2+RESP: The SpO2 plethysmogram and Respiration waveform can be printed on the screen.
⑦ 3 CHANNEL: Three channels, including: ECG waveform, SpO2 waveform, RESP waveform will be entirely printed.
⑧ None: None waveforms will be printed on the paper.
6.3.4 Printed content by the build-in recorder
Fig. 6-5
The printed-paper is shown as Fig. 6-5:
① Bed No.
② The printed data and time, they are shown as “07/28/2004 15:17:36”.
③ Waveforms: Waveforms will be printed according to your settings. When recorder prints 3 waveforms, they will overlap.
④ 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. 6-6. 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. You‟d better keep the background color to
black for getting the better view.
Fig. 6-6
6.5 Mode
It is for defining how many waveforms will be represented on the screen. Rotate the knob to select the “MODE” item, then choose “STANDARD”,
- 27 -
Cinema Series Manual
“GRAPH EXT”, “IBP EXT”, “ECG EXT” or “LARGEFONT” to display as your requirement.
“STANDARD” mode indicates that there are 4 waveforms and data table displayed on the screen, including: two traces of ECG waveform, SpO2
waveform, RESP waveform and one table (shown as Fig. 6-7). Rotate the knob to make the cursor be on the type of lead in the ECG frame, then
press and rotate the knob to select the ECG waveforms of various leads displayed on the screen.
Fig. 6-7
“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. 6-8).
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. 6-9).
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Cinema Series Manual
Fig. 6-9
“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. (As shown in Fig. 6-10)
Fig. 6-10
NOTE: If operator selects Et-CO2 (side stream) to monitor the patient’s respiration, the CO2 waveform will instead of the RESP
waveform acquired by Trans-thoracic impedance to display on the screen.
“LARGEFONT” mode indicates there are paremeters measurement in large font and 2 waveforms displayed on the screen, including: an ECG
waveform and a SpO2 waveform (Shown as Fig. 6-11).
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Cinema Series Manual
Fig. 6-11
6.6 Extend
Rotate the knob and select “EXTEND” item to access the sub-menu shown as below:
Fig. 6-12
(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. 6-13
SWITCH: By this menu you can select ON, OFF or AUTO. In 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℃), and will automatically be closed when the monitor inner temperature
reaches the fan-off limit (the default setting is 55℃).
ALARM: If you set ALARM on, the alarm beep sounds with high level mode, and the temperature value will 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 is 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. 6-14
① SEND: Select the “send” item and confirm, you will see the following menu.
Fig. 6-15
CHANNEL: The channel from which the heart rate is computed.
LEAD SEL: The type of lead. (When the type is “LEAD Ⅲ” ,the heart rate is only can be computed from the ChannelⅠ.)
ECG FROM: The screen only can display one channel‟s waveform. You can set which channel‟s waveform 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 808 module.
② RECEIVE: By this menu you can see the following message.
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Cinema Series Manual
Fig. 6-16
③ 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 monitor’s configurations. But for the doctors we do
not propose them to use this item. As for the details of the item’s usage please refer to the SERVICE MANUAL correspondingly.
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Cinema Series Manual
CHAPTER 7 TABLE&TREND
The Patient Monitor provides 72-hour trend data of parameters and 72-hour table data.
Table &Trend Setup
, and then press the knob, the menu bar of “Trend setup” appears on the
In monitoring status, rotate the knob to highlight the TABLE icon
bottom of screen.
Fig.7-1
7.1 Table
Please select the TABLE to enter into the interface 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 “FREEZE/SILENCE” function key to enter the “set page”. Rotate the knob to set the passing pages at
each switch. Press “FREEZE/SILENCE” again to exit the page set,and then rotate the knob to turn the pages you want.
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Cinema Series Manual
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” button which on the front panel, you will call up the following chart:
Fig. 7-4
7.3 GRAPH
Pick GRAPH in the TREND MENU to call up the following chart as Fig. 7-5.
Fig. 7-5
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Cinema Series Manual
7.3.1 HR
Pick HR in the GRAPH MENU to call up the following chart as Fig. 7-6:
Fig.7-6
7.3.2 NIBP
Pick NIBP in the GRAPH MENU to call up the following chart as Fig. 7-7:
Fig. 7-7
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Cinema Series Manual
7.3.3 SpO2
Pick SpO2 in the GRAPH MENU to call up the following chart as Fig. 7-8:
Fig. 7-8
7.3.4 ST
Pick ST in the GRAPH MENU to call up the following chart as Fig. 7-9:
Fig. 7-9
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Cinema Series Manual
7.3.5 CO2
Pick CO2 in the GRAPH MENU to call up the following chart as Fig. 7-10
Fig.7-10
7.3.6 TEMP
Pick TEMP in the GRAPH MENU to call up the following chart as Fig. 7-11:
Fig. 7-11
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Cinema Series Manual
7.4 OxyCRG
Pick OxyCRG in the TABLE MENU to call up the following chart as Fig. 7-12:
OxyCRG show HR trend、SpO2 trend、RR trend in one screen. The first one is HR trend, the second one is SpO2 trend, and the third one is RR
trend.
Fig. 7-12
7.5 ALARM
Pick the ALARM item to enter the setup of alarm event storage shown as Fig. 7-13:
100 alarm events can be totally recorded in the system.
Fig. 7-13
7.6 Time
Four selections are available: 8-hour, 24-hour 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.
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Cinema Series Manual
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 Patient Monitor may raise the user‟s 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 audible alarm will restore automatically after 3 minutes or be activated when new alarm event occurs. As press the button, the icon in
menu status shows
,which indicates all the audible alarms have been shut off.
NOTICE: The SILENCE button of the M3 monitor performs the function of the“ALARM” button above.
Audible Alarm
The high/medium/low-level alarms can be set according to the user‟s 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
High(Level 1)
Medium(Level 2)
Low(Level 3)
Audio prompt
Mode is “DODODO---DoDo”, the audible alarm is sent out continuously.
Mode is “DODODO”, which is triggered once every 24 seconds.
Mode is “DODO”, which is triggered once every 12 seconds.
Visual alarm
When an alarm event occurs, the parameter measurement or corresponding prompt information display will be highlighted.
8.2 Alarm Setup
In monitoring status, rotate the knob to highlight the
screen as shown below Fig. 8-1:
icon, and then press the knob, the menu of “alarm setup” appears on the bottom of
Fig. 8-1
PROMPT
There are two methods to set the alarm of each parameter, one of which is setting all alarms of every parameter when you press the
another is setting “ALARM” in the individual menu of each parameter setup.
icon,
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 method to set up alarm information of HR:
⑴ Select “HR” in alarm menu to call up the sub-menu shown as below Fig. 8-2:
Fig. 8-2
⑵ 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/her desired selection.
NOTE:

Selecting “ON/OFF” item for “OFF” in sub-menu of the parameter only prohibits the alarm of the relevant parameter individually.

If you select “ON/OFF” item in sub-menu for OFF, even if the alarm icon is on, shown as
activated.

Triggering the alarm function should simultaneously satisfy the three requests:
,
the relative alarm will not be
(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 alarm function of the monitor.
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Cinema Series Manual
(2) Make sure that the “SILENCE” icon in the frame of menu status is shown as
(3) Make sure that the “ALARM” icon in the frame of menu status is shown 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
In monitoring status, rotate and press the knob on the icon
, the icon will change into
, indicating that all kinds of sound including the
audible alarm and heart beep have been manually silenced. Until press the knob again, the system will immediately restore the normal status, and
the icon shows
.
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Cinema Series Manual
CHAPTER 9 ECG MONITORING
9.1 What is ECG MONITORING?
Monitoring the ECG produces a continuous waveform of the patient‟s cardiac electric activity to enable an accurate assessment of his/her current
physiological state. Only proper connection of the ECG cables can ensure satisfactory measurement. The patient monitor can display the Heart
Rate (HR), ST segment and Arrhythmia analysis. The ECG waveforms are shown 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 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
⑴ For patient‟s skin is not in a good condition, which need to be preconditioned before placing electrode 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 skin‟s impedance.
b) Shave body hair on where electrodes are placed, if necessary.
c) Rub skin briskly to increase capillary blood 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.
⑵ Attach clip or snap to electrodes prior to placement.
⑶ Put the electrodes on the patient. Before attaching, apply some conductive jelly on the electrodes if the electrodes are not electrolyte
self-supplied.
⑷ Connect the electrode lead to the patient‟s cable.
⑸ Make sure the monitor is ready with power supply.
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
For 5-lead set, attach the electrodes to the positions as below Fig.9-1. Electrode placement:

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.
Fig. 9-1
Electode’s position, identification and color:
AHA
Electrodes Identifier
RA
LA
LL
RL
V
IEC
Color
Code
White
Black
Red
Green
Brown
Electrodes
Identifier
R
L
F
N
C
Color
code
Red
Yellow
Green
Black
White
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Position on body surface
Right arm
Left arm
Left leg
Right leg (neutral electrode)
Signal movable chest electrode
Cinema Series Manual
NOTE: To ensure patient safety, all leads must be attached to the patient.
For 5-lead set, attach the C (V)- electrode to one of the indicated positions as below Fig. 9-2:
Fig. 9-2 Placement of chest electrode
V1: On the 4th intercostal space at the right sterna margin.
V2: On the 4th intercostal space at the left sterna margin.
V3: Midway between V2 and V4 electrodes.
V4: On the 5th intercostal space at the left sterna margin.
V5: On the left anterior axillary line, horizontal with V4 electrodes.
V6: On the left middle axillary line,horizontal with V4 electrode.
V3R-V7R On the right side of the chest in positions corresponding to those on the left.
VE Over the xiphoid position.
V7 On the 5th intercostal space at the left posterior axillary line of back.
V7R On the 5th intercostal space at the right posterior axillary line of back.
WARNING
When using electrosurgery equipment, leads should be placed in a position in equal distance from electrosurgery electrotome and the
grounding plate to avoid cautery. Electrosurgery 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, place
electrodes 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 electrosurgery equipment, never place an electrode near the grounding plate of the electrosurgery device, otherwise there
will be a great deal of interference with the ECG signal.
ATTENTION

For the movement of the lead will result in the inaccurate HR value, try to avoid the interference.

The Patient Monitor can detect ECG signal when at least standard three ECG leads 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 patient‟s skin, “LDOFF” technical alarm will be displayed in the ECG displaying area.

“ECG ERROR” indicates ECG board with trouble. Please stop ECG monitoring at once and contact 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.
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Cinema Series Manual
LEAD:
ECG ERROR:
LDOFF:
The lead of showing ECG waveform
Technical alarm of ECG module. It means that the module is in trouble.
Technical alarm means lead off. It displays in the ECG numeric area. If the alarm occurs, please check the connector of lead 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 of the modes 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 matches with the color of ECG parameter. A scale bar is
displayed to the right side of ECG waveform as Fig.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, and then press the knob, the menu of “ECG setup”
appears on the bottom of screen as shown below Fig. 9-5.
9.5.1 AMPLITUDE
Pick this item to access the amplitudes setup of ECG waveform. 7 selections are available: 2.5mm/mv,5mm/mV, 7mm/mV, 10mm/mV, 15mm/mV,
20mm/mV, and 25mm/mV. As adjusting, the scale bar will change accordingly.
Fig. 9-5
9.5.2 ALARM
Prompt: The operation and function are the same as the ECG sub-menu when pressing alarm icon
in the frame of menu status.
Select “ALARM” in ECG menu to call up the sub-menu shown as below Fig. 9-6:
Fig. 9-6
NOTE: It only sets HR alarm individually; the alarms of other parameters will not be affected.
Four items are available for the user to set up, which are HIGH (upper limit), LOW (lower limit), ALARM (OFF, HIGH, MEDIUM, LOW), LEAD ALM
(LEADOFF ALARM). When using the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her desired
selection. The detailed operation, please refer to Chapter 8 Alarm and Silence.
9.5.3 ECG ANALYSE and REPLAY
NOTE: Doctor should not only rely on the diagnosis made by the monitor, the accurate result must be combined with doctor’s
experience and knowledge.
Select “ANALYSE” item in ECG setup menu to access the sub-menu shown as below Fig.9-7:
Fig. 9-7
ST SETUP
The information of ST segment is useful for physician‟s diagnosis. Normally, the doctor observes its graph carefully to judge whether the patient‟s
heart work orderly.
NOTE: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:
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Cinema Series Manual
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 event occurs.
(1) Press “REPLAY” item to call up the sub-menu shown as below Fig. 9-9:
Fig. 9-9
The menu defines the speed and length of replaying waveform.
FAST:
replay the ECG waveform in the fast 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
(2) If the CASCADE item is ON, after you select “FAST”, “NORMAL” or “SLOW” item, the first trace of ECG waveform goes on showing the
real-time patient‟s status, the second trace will replay the previous ECG waveform shown as Fig.9-10.
Fig. 9-10
If the CASCADE item is OFF, after you select “FAST”, “NORMAL” or “SLOW” item, two traces will replay the previous ECG waveform
individually.
(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 times/min, then the RR
Interphase should be 1000ms), The Y axis is (n-1) times, namely the previous time interphase value according to the n time in the X axis. Thus, if
supposing the ideal situation, the HR is steady and does not vary, the Lorenze chart should be a line whose slope is 1 namely the bevel is 45
degree. If the HR varies, Lorenze chart is the figure composed by the dots upper or lower than the line whose bevel is 45 degree. The different
statistic chart has different analysis and diagnosis meaning in the clinic situation.
The data in the Lorenze chart are selected from the data table, one dot per minute, totally 24 hours for a complete chart.
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Cinema Series Manual
(4) Select “ANA” item to startup the analyzing software of monitor. Rotate the knob to pick “ON”, the analyzed result will be shown on the right of
ECG display area in time.
NOTE:We don’t recommend use this function while monitoring the patient. The analysis results are only references helping doctor to
make diagnosis.
(5) Select “HR A” item to enter into the submenu shown as Fig.9-12
Fig.9-12
The items in this menu are for setting the alarm of arrhythmia. The numerical options are the period of RR interval. The patient monitor calculates
the patient‟s heart rate via reckoning the times of RR interval. Therefore, in the fixed time, shorter the period of RR interval is, faster the heartbeat
is.
① FAST: the alarm is for tachyrhythmia. As Fig.9-11 shown, the alarm will be activated if RR interval is less than 500ms.
② SLOW: the alarm is for bradycardia. As Fig.9-11shown, the alarm will be activated if RR interval is more than 2000ms.
③ ANALYSE: the menu is for setting the standard of judging arrhythmia. Pick “ANALYSIS” item to enter the analyzed results shown as below
screen Fig.9-13.
Arrhythmias are disorders of the regular rhythmic beating of the heart. The monitor offers 13 kinds of arrhythmia for reference. When
arrhythmia occurs, alarm Messages will be displayed in the ECG display screen, and the audio and visual alarms will be activated if the
parameter value exceeds the limit.
Fig.9-13
The monitor can judge the ECG abnormal events include: ASYST, TACHY, VENT TACHY, BRADY, MISS BEAT, FREQ PVC, RUN
PVC, TRIG, BIG, RonT, INTER PVC, COUPL, PVC.

ASYST: Asystole

TACHY: Tachycardia

VENT TACHY :

BRADY: Bradycardia

MISS BEAT: Miss Beat

FREQ PVC: Frequent PVC

RUN PVC: Run PVC

TRIG: Trigeminy

BIG: Bigeminy
Ventricular Tachycardia

RonT: RonT

INTER PVC: Interposal PVC

COUPL: Couplet PVC

PVC: Premature Ventricular Counter
Press “WAVE” menu to call up the stored abnormal waveforms as Fig. 9-14:
Fig. 9-14
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Cinema Series Manual
NOTE: We don’t recommend using this function while monitoring the patient. The analysis results are only references helping
doctor to make diagnosis.
④ NIBP CTR: This function relates the NIBP with the ECG. When the user start-up this function, once the value of ECG is beyond the
limitation of arrhythmia, the NIBP function will be auto-run to measure the patient.
NOTE: The limitation is according to the value of FAST and SLOW. For example, when the FAST value is 500ms,which means that
the low limitation is the 120bpm, meanwhile, when the LOW value is 2000ms, wich means that the high limitation is the 300bpm. If
the ECG value is beyond this interzone value, the NIBP function will be auto-run.
NOTE: Doctor should not only rely on the diagnosis made by the monitor, the accurate result must be combined with doctor’s
experience and knowledge.
9.5.4 CASCADE or LEAD
The Patient Monitor adopts the standard 5-lead to detect the patient‟s electrocardiogram.
When the ECG is 5-lead, the selectable leads are Ⅰ, Ⅱ, Ⅲ, aVL, aVF, aVR, V, 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.
Fig.9-12
When you set it “ON”, two traces of ECG waveform only show one lead status. In another word, the two frames form a cascaded waveform,
effectively presenting a sample over twice the time interval of one frame. If you set it off, 2-lead waveform will display on the screen synchronously,
each of leads can be set individually.
LEAD
When you select the “ECG EXT” mode, the „lead‟ item will be displayed in the ECG menu, Ⅰ,Ⅱ,Ⅲ,aVL,aVF,aVR,V, AUTO can be set by
you, the selected lead is main lead, which is the ECG waveform printed by the recorder and sent to workstation.
Fig.9-13
PROMPT

LeadⅡis default which can get the best view of ECG waveform.

AUTO: the ECG waveforms of various lead display on the screen circularly when the item is selected.
9.5.5 SWEEP SPEED
The menu defines the sweep speed of ECG waveform, the available options are 12.5mm/s, 25mm/s, 50mm/s, select the proper sweep speed
according to the clinical requirement.
9.5.6 OTHER
Select “OTHER” in ECG menu to call up the sub-menu as shown below:
Fig. 9-14
1) FILTER: used for displaying clearer and more detailed waveform.
There are three filter modes for selection. DIA-MODE, MON-MODE, OPR-MODE can reduce interference from other electrosurgery equipment.
The difference mode is the corresponding bandwidth.
OPR-MODE: Operation mode, bandwidth: 1 - 25 Hz
MON-MODE: Monitor mode, bandwidth:
0.5 - 75 Hz
DIA-MODE: Diagnosis mode, bandwidth: 0.05 - 120 Hz
2) BEEP: you can turn on or off the sound of heartbeat.
3) HR FROM:
The monitor can use ECG to get the value of HR and use SpO2 to get the value of PR. Normally When we setup this item to “ECG” which means
we select to use ECG to get the value of HR. On the other side if we setup this item to “SpO2” which means we select use SpO2 to get the value of
HR, and the item indicator in the ECG numeric display area will be shown as “PR” not “HR”, such as the following two pictures. Normally we use
ECG to get the value of HR and there is a little difference between the HR and PR. But if we select “SpO2” in this item then the value in ECG HR
position and the PR value in SpO2 area are same.
HR from ECG
PR from SpO2
Fig. 9-15
4)SWITCH-F: Filter switch. You can turn on or off the filter of the signals.
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Cinema Series Manual
9.6 Maintenance and Cleaning
WARNINGS

Power must be shut off and main supply plug must be pulled out before cleaning monitor or sensor.

Do not use damaged ECG leads. Do not immerse ECG leads completely in water, solvents, or cleaning solutions because the
connectors are not waterproof. Do not sterilize ECG leads by irradiation, steam, or ethylene oxide.
Clean: Clean the monitor or sensor using a wet no-floss cloth, which is washed in 70% alcohol or neutral soap.
Sterilization: It is suggested sterilization on instrument is going only when it is required by hospital regulation in order to avoid long-term damage
on instrument. We also suggest that the product used to sterilize our instrument is cleaned first.
Disinfection: It is suggested disinfection on instrument is going only when it is required by hospital regulation in order to avoid long-term damage
on instrument. We also suggest that the product used to disinfect our instrument is cleaned first.
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Cinema Series Manual
CHAPTER 10 NIBP MONITORING
10.1 Introduction
⑴ The Non-invasive Blood Pressure (NIBP) module measures the blood pressure using the oscillometric method.
⑵ It is applicable for adult, infant usage.
⑶ There are three modes of measurement available: manual, cycle and STAT(Not-stop). Each mode displays the diastolic, systolic and mean
blood pressure.
WARNING

You must not perform NIBP measurements on patients with sickle-cell disease or under any condition which the skin is damaged or
expected to be damaged.

For a thrombasthemia patient, it is important to determine whether measurement of the blood pressure shall be done automatically.
The determination should be based on the clinical evaluation.

Ensure that the correct setting is selected when performing measurements on infants. It may be dangerous for infants to use an
over pressure level.
10.2 Preparation for Cuff
WARNING

Before starting a measurement, verify that you have selected a setting appropriate for your patient.(adult or infant)

Do not apply the cuff to a limb that has an intravenous infusion or catheter in place. This could cause tissue damage around the
catheter when infusion is slowed or blocked during cuff inflation.

Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled.
⑴ Plug in the air hose and switch on the system.
⑵ Apply the blood pressure cuff to the patient‟s arm

Ensure that the cuff is completely deflated.

Apply the appropriate size cuff to the patient, and make sure that the symbol “Ф” is over the appropriate artery. Ensure that the cuff is
not wrapped too tightly around the limb. Excessive tightness may cause discoloration and eventual ischemia of the extremities.
NOTE

The width of the cuff should be either 40% of the limb circumference (50% for infants) or 2/3 of the upper arm length. The inflatable
part of the cuff should be long enough to encircle 50~80% of the limb. The wrong size of cuff can cause erroneous readings. If the
cuff size is in question, then use a larger cuff.
Size of reusable cuff for infant/ pediatric /adult

Patient Type
Cuff Width
Infant
6~11cm
Infant
10~19cm
Pediatric
18~26cm
Adult
25~35cm
Outsize
33~47cm
Hose
1.5m
Make sure that the cuff edge falls within the range of mark <->. If it does not, use a larger or smaller cuff that fits better.
⑶ Connect the cuff to the air hose. The limb chosen for taking the measurement should be placed at the same level as the patient‟s heart. If this is
not possible you should apply the following corrections to the measured values.
① If the cuff is placed higher than the heart level, add 0.9 mmHg(0.10kPa) for each inch of different.
② If it is placed lower than the heart level, deduct 0.9 mmHg (0.10kPa)for each inch of different.
⑷ Check whether the patient mode is appropriately selected. The detailed operation please refers to Section 10.4.5 MODE.
⑸ Select a measurement mode in the NIBP SETUP menu. The detailed operation please refers to Section 10.4.4 CYCLE and Section 10.4.6
STAT.
⑹ Press the START button on the front panel to start a measurement.
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10.3 NIBP Displaying Area
NIBP measurement result and corresponding message are displayed as follows Fig.10-1:
Fig. 10-1
S:
Systolic pressure (the value is 119 here)
D:
Diastolic pressure (the value is 78 here)
M:
Mean arterial pressure (the value is 90 here)
ADULT: The type of current measuring patient, two selections are available: INFANT and ADULT, the detailed operation please refers to Section
10.4.5 MODE.
Unit:
Two units are available: mmHg and KPa.
MANUAL: The present measurement mode, MANUAL, AUTO and STAT (NON-STOP) modes are available, the detailed operation please refer to
Section 10.4.4 CYCLE and Section 10.4.6 STAT.
18:30: The latest time of measurement.
10.4 Operation of NIBP Monitoring
In monitoring status, rotate the knob to highlight the NIBP icon in the NIBP displaying area, and then press the knob, the menu of “BP setup”
appears on the bottom of screen as shown below. Different BP setup menus will be shown as per different modes. There are 3 types: NIBP, IBP1,
and IBP2. Select “NIBP” item for “BP TYPE”, the sub-menu will be shown as Fig.10-2:
Fig.10-2
10.4.1 BP TYPE
BP TYPE: after selecting this item, rotate the knob to select the different BP type, NIBP, IBP1, IBP2.
10.4.2 ALARM
PROMPT
The operation and function are the same as the BP sub-menu when pressing alarm icon
in the frame of menu status.
Select “ALARM” in NIBP menu to call up the sub-menus. Different ALARM sub-menus respond the different BP types. If you have picked NIBP
type and pressed ALARM item, ALARM sub-menu will be shown as Fig.10-3:
Fig.10-3
NOTE:
It only sets NIBP alarm individually; the alarms of other parameters will not be affected.
Five items are available for the user to set up, which are SYS (systolic limit), MEAN (the limit of mean arterial pressure), DIAS (diastolic limit),
ALARM (OFF, HIGH, MEDIUM, and LOW), and CALIBRATE (ON/OFF). When use the knob to select each item and press the knob, a pull-down
list appears for the user to choose his/her desired selection.
10.4.3 UNIT
Pick this item to set measurement unit. (Selection: mmHg or KPa.)
10.4.4 CYCLE
NIBP Measurement Modes
There are three methods to conduct NIBP measurement: manual, cycle and STAT (Not-stop). In manual mode, only one measurement is
conducted for each time. In the AUTO mode, the measurement is cycle; you can set the interval time to 1/2/3/4/5/6/7/8/9/10/15/20/25/30/40/50/
60/70/80/90/120/150/180/210/240minutes.

Manual
In which one measurement of each of the three blood pressures (Systolic/Mean Arterial Pressure/Diastolic) is made and displayed in the numeric
frame.
Press START (NIBP) button on the front-panel. A single blood pressure measurement will be made. Press START (NIBP) button again to cancel
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this measurement.
The measurements remain in the numeric frame as long as what you set up.
As soon as an NIBP measurement begins, any existing NIBP values in the numeric frame are removed, and the current, variable value of the cuff
pressure is shown. Systolic, diastolic and MAP values are presented when the measurement is completed. If fail to measure, the numeric frame
displays “_ _”.

Automatic
NIBP measurements are performed at the intervals as per you set.
Access NIBP SETUP menu and pick the CYCLE item to set measuring mode. Select the CYCLE selection. Then press START (NIBP) button on
the front panel to start the first auto measuring. Selected interval indicates you have set AUTO Monitoring Mode, the device will successively
measure patient‟s BP after taking break for the time you set in “CYCLE” item If you press “START” menu during AUTO mode, the measurement in
progress will stop to another manual measurement. After this manual measurement, the device will enter AUTO monitoring mode again. You want
to get the patient‟s NIBP value by manual operation, just pick “MANUAL” in “CYCLE” item.
10.4.5 MODE
Access NIBP SETUP menu and pick the MODE item to set the type of monitoring patient.
If the inflating pressure is selected between 70~120mmHg, the monitored patient should be an infant; if the inflating pressure is selected between
140~180mmHg, the monitored patient should be an adult. The AUTO mode is adult.
When setting the auto adult mode, inflated pressure is 22 kPa (165 mmHg). Normally, due to the oscillometric technique, the setup of inflated
pressure greatly affects the result of the monitored NIBP value. The highest inflated pressure is +4 kPa (30 mmHg) more than the Systolic
pressure.
10.4.6 STAT
If you set the STAT item ON, the monitor will measure the blood pressure continuously in 5 minutes. After completion of last measurement it waits
5 seconds, and then measures the pressure again.
NOTE: Ensure that the correct setting is selected when performing measurements on infants. It may be dangerous for infants to use an
over pressure level.
How to stop the NIBP Measurements
If a measurement is in process, press the START (NIBP) button whenever that you wish to cancel the current measurement. If an automatic
measurement is underway, the interval time will be reset.
The measurement values will be displayed after normally measurement. Alarm will be activated if those values out of limit. Only visible alarm can
be seen when the audible alarm be disabled. Refer to the ALARM chapter for more information.
WARNING

This monitor displays results of the last blood pressure measurement until another measurement is completed. If a patient’s
condition changes during the time interval between measurements, it will not detect the change or indicate an alarm condition.

Prolonged non-invasive blood pressure measurement in AUTO mode may be associated with purpuric, ischemia and neuropathy
in the limb wearing the cuff. When monitoring a patient, examine the extremities of the limb frequently for normal color, warmth
and sensitivity. If any abnormality is observed, stop the blood pressure measurements.

The blood pressure cuff should not be applied to the limb attaching the SpO2 sensor, since cuff inflation will disrupt SpO2
monitoring.

Do not place the cuff on an extremity being used for intravenous infusion or any area where circulation is compromised or has the
potential to be compromised.

When the measurement be performed on the infant and infant. Make sure that correct mode setting has been selected (refer to
NIBP menu setting section). For higher adult NIBP doesn’t fit for infant and infant, wrong selection of patient mode may be
dangerous to them.

Inaccurate measurements may result from such causes:
a. Limb’s twitch and tremble will cause inaccuracy or prolonged the cycling of measurement; serious tremble will lead to the
failure of measure.
b. Placing the cuff too loosely or tightly on the patient.
c. Leaky cuff or hose
d. Insure the NIBP and pulse rate within the range of this monitor.
e. Excessive patient motion will cause the inaccuracy, patient should be relax and avoid movement.
10.5 Pressure Safety Protection

Automatic deflation will be activated when the cuff pressure exceed 280 mmHg under the adult mode and exceed 145 mmHg under the
infant mode.

Automatic deflation will be activated when the continuous inflation last more than 30 seconds.

If there is no value when measurement time exceeds 120 seconds under the adult mode and 90 seconds under the infant mode, the
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measurement will be canceled.

You can press the START (NIBP) button to cancel a NIBP measurement when necessary.
10.6 Maintenance and Cleaning
WARNING

Do not squeeze the hose of cuff.

Do not allow liquid to enter the connector socket when cleaning the monitor.

Do not wipe the inner part of the connector socket when cleaning the monitor.

When the reusable cuff is not connected with the monitor, or being cleaned, always place the cover on the rubber tube to avoid
liquid permeation.
NIBP cuff disinfection
The cuff can be sterilized by means of conventional autoclaving, gas, or radiation sterilization in hot air ovens or disinfected by immersion in
decontamination solutions, but remember to remove the rubber bag if you use this method. The cuff should not be dry-cleaned.
The cuff can also be machine-washed or hand-washed, the latter method may prolong the service life of the cuff. Before washing, remove the latex
rubber bag, and for machine-washing, close the Velcro fastening. Allow the cuff to dry thoroughly after washing, and then reinsert the rubber bag.
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Cinema Series Manual
CHAPTER 11 SpO2 MONITORING
11.1 What is SpO2 Monitoring
SpO2 plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood. If, for example, 97%
hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen, then the blood has a SpO2 oxygen saturation of 97%. The
SpO2 numeric on the monitor will read 97%. The SpO2 numeric shows the percentage of hemoglobin molecules which have combined with oxygen
molecules to form oxyhemoglobin. The SpO2/PLETH parameter can also provide a pulse rate signal and a plethysmogram wave.
How the SpO2/PLETH Parameter Works
⑴Arterial oxygen saturation is measured by a method called pulse oximeter. It is a continuous, non-invasive method based on the different
absorption spectra of reduced hemoglobin and oxyhemoglobin. It measures how much light, sent from light sources on one side of the sensor, is
transmitted through patient tissue (such as a finger or an ear), to a receiver on the other side.
⑵The amount of light transmitted depends on many factors, most of which are constant. However, one of these factors, the blood flow in the
arteries, varies with time, because it is pulsating. By measuring the light absorption during a pulsation, it is possible to derive the oxygen saturation
of the arterial blood. Detecting the pulsation gives a PLETH waveform and pulse rate signal.
11.2 Precautions during SpO2/Pulse Monitoring
WARNING

ES (Electrosurgery) equipment wire and SpO2 cable must not be tangled up.

Do not put the sensor on extremities with arterial catheter or venous syringe.
Verify sensor cable fault detection before beginning of monitoring phase. Unplug the SpO2 sensor cable from the socket, the
screen will display the error message “PROBE OFF” and the alarm is activated. If “PLETH ERROR” message displays on the
displaying area, which means the SpO2 board with trouble.

Do not use the sterile supplied SpO2 sensor if the packaging or the sensor is damaged and return them to the vendor.

Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition such as abnormal
sensitivity, rubescent, vesicle, repressive putrescence, and so on. It is especially important to check the sensor placement of
infant and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to
changes of the skin. Check the sensor placement every 2~3 hours and move it when the skin deteriorates. More frequent
examinations may be required for different patient.
NOTE

Do not perform SpO2 measuring and NIBP measuring in same limb, because obstruction of blood flow during NIBP measuring
may adversely affect the reading of SpO2 value.

Make sure the nail covers the light window.

The wire should be on the backside of the hand.
11.3 Monitoring Procedure
⑴ Switch on the monitor.
⑵ Plug the connector of sensor into SpO2 socket on the side panel of the monitor.
⑶ Attach the sensor to the appropriate site of the patient finger.
NOTE: Ensure the finger insert the sensor completely (has touched the bottom of the sensor).
Limitation for measurement:
In operation, the accuracy of oximeter readings can be affected by:

High-frequency electrical noise, including noise created by the host system, or noise from external source, such as electrosurgical
apparatus, which is admitted by the host system.

Do not use oximeter and oximetry sensors during magnetic resonance imaging (MRI) scanning. Induced current could potentially cause
burns.

Intravascular dye injections

Excessive movement of patient

Improper sensor application

Sensor temperature (maintain between 28℃ and 42℃ for the best operation)

Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter, or intravascular line
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Cinema Series Manual

Significant concentration of dysfunctional hemoglobin, such as carboxyhemoglobin and methemoglobin

External illumination more than 5,000 lumens/square meter (typical office lighting)

Venous pulsations

It is recommended to use SpO2 sensor provided by our company.
11.4 SpO2 Displaying Area
SpO2 measurement result and corresponding message are displayed as Fig.11-1:
Fig. 11-1
SPO2:
Measured value of SpO2
PR:
Pulse rate
ERROR:
A technical alarm. It means that communication between the main board and the function board is malfunction.
PROBE OFF: A technical alarm. It indicates that the sensor detects no finger in it, please check whether the sensor has been well connected.
PR:
Pulse rate value
11.5 Operation of SpO2 Monitoring
In monitoring status, rotate the knob to highlight the SPO2 icon in the SpO2 displaying area, and then press the knob, the menu of “SpO2 setup”
appears on the bottom of screen as shown below Fig. 11-2:
Fig. 11-2
11.5.1
AMPLITUDE
The amplitude indicates the status of the patient‟s blood circulation. Pick this item to access the amplitudes setup of SpO2 waveform. 5 selections
are available: 1, 2, 3, 4, 5. the amplitude of SpO2 waveform will be changed as setting.
11.5.2
AVERAGE
The Patient Monitor calculates SpO2 value with quantity of the SpO2 full wave (one top appearance of the SpO2 wave). You can find three
selections which is 4,8,16 in this menu, which indicate that the monitor use 4, 8 or 16 full waves to calculate the SpO2 value.
11.5.3
PR SOUND
It is for setting sound on/off of pulse beep.
11.5.4
ALARM
PROMPT
The operation and function are the same as the SpO2 sub-menu when pressing alarm icon
in the frame of menu status.
Select “ALARM” in SpO2 menu to call up the sub-menu shown as Fig.11-3:
Fig. 11-3
NOTE
It only sets SpO2 alarm individually; the alarms of other parameters will not be affected.
Both audible and visual alarm will be activated when alarm events occur.
Five items are available for the user to set up, which are PR ALARM (HIGH, LOW, ALARM), PROBEALM (ON/OFF for ALARM of probe off), HIGH
(high limit of SpO2), LOW (low limit of SpO2%) and ALARM (OFF, HIGH, MEDIUM, and LOW). When you rotate the knob to select each item and
press the knob, a pull-down list appears for you to choose your desired selection.
11.5.5
WAVEFORM
It is for setting the mode of displaying SpO2 waveform. Pick the “FILL” item in “WAVEFORM” menu, SpO2 waveforms displaying on the screen is
filled as Fig.11-4:
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Cinema Series Manual
Fig. 11-4
Select “LINE” item in “WAVEFORM” menu, SpO2 waveform is in line as Fig. 11-5:
Fig. 11-5
11.6 Maintenance and Cleaning
WARNING

Disconnect the AC power before cleaning the monitor or sensor.

Do not immerse sensor completely in water, solvents, or cleaning solutions because the sensor and connector are not
waterproof.

Do not sterilize SpO2 sensors by irradiation, steam, or ethylene oxide.

Do not soak the sensor in the detergent liquid; if any abnormity of the sensor or cable is detected, stop using it immediately.
Cleaning:
Moisten the soft cloth or gauze with alcohol and use it to wipe the surface of sensor, and then use the clean cloth to dry it. The same method can
be used to clean the light source and photo detector.
Cables can be disinfected by 3% of hydrogen-peroxide or 7% of isopropyl alcohol. Do not immerse the connector into the liquid.
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CHAPTER 12 RESP MONITORING
12.1 How to Measure RESP
The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes. The change of impedance between the
two electrodes, (due to the thoracic movement), produces a respiratory waveform on the screen.
12.2 Setting up RESP Measurement
For RESP monitoring, it is not necessary for additional electrodes, however, the placing of electrodes is important.
Some patients, due to their clinical condition, expand their chest laterally, causing a negative intrathoracic pressure. In these cases it is better to
place the two RESP electrodes laterally in the right axillary and left lateral chest areas at the maximum point of breathing movement to optimize
the respiratory waveform.
NOTE:The RESP monitoring is not recommended to be used on patients who are very activated, as this can cause false alarm.
12.3 Procedures of RESP Measurement
⑴ Prepare the patient‟s skin prior to placing the electrodes.
⑵ Attach snap or clip to the electrodes and attach the electrodes to the patient as described as Fig.9-1.
NOTE: Place the red and green electrodes diagonally to optimize the respiration waveform. Avoid the liver area and the ventricles of
the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts from pulsating blood flow. This is
particularly important for infants.
⑶ Switch on the monitor.
WARNING

The respiration signals are acquired using the ECG. For information about patient connection, please refer to the ECG Monitoring
section.

Respiration signals are relatively more sensitive than any other physiological signals. It can cause inaccurate respiration
readings by the interference of patient activity and electrical surgery equipments. Do not rely entirely on the respiration readings
of this monitor for patient assessment.
12.4 RESP Displaying Area
RESP measured result and corresponding message are displayed as follows Fig. 12-1:
Fig. 12-1
RR:
Respiration Rate (the value is 16 here)
CO2:
This function is optional; the result will be displayed on the screen only the module has been installed. (the value is 33 here)
ERROR:
LDOFF:
Technical alarm of module. It means that the module may be in trouble.
Technical alarm means lead off. It displays in the RESP graphic display area. If the alarm occurs, please check the connector of lead
cable and electrodes connection.
12.5 Operation of RESP Monitoring
In monitoring status, rotate the knob to highlight the RESP icon in the RESP displaying area, and then press the knob, the menu of “RESP setup”
appears on the bottom of screen as shown below as Fig.12-2:
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Cinema Series Manual
Fig. 12-2
12.5.1 AMPLITUDE
Pick this item to access the WAVE amplitudes setup of RESP waveform. 12 selections are available: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12. The
amplitude of RESP waveform will be correspondingly changed as setting.
12.5.2
TYPE
It is for setting the type of RESP measurement. Two methods are available: IMPED (trans-thoracic impedance); CO2 (end tidal CO2).
NOTE
When you set “RESP-TYPE” to “CO2” item, the Et-CO2 waveform will be instead of RESP waveform gained by trans-thoracic
impedance.
12.5.3
ALARM
Select “ALARM” in RESP menu to call up the sub-menu shown as below:
Fig.12-3
NOTE
It only sets RESP alarm individually; the alarms of other parameters will not be affected.
Four items are available for the user to set up, which are HIGH (upper limit), LOW (lower limit), ALARM(OFF, HIGH, MEDIUM, LOW) , APNEA
(OFF, 10-90 seconds). When use the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her desired
selection.
Description of APNEA:
You can set the standard of judging an apnea case by this menu. Apnea alarm is triggered according to the time set by user. The time ranges from
5 to 90 seconds. You also set the Apnea alarm off.
12.5.4
CO2 SETUP
For more detailed information, please refer to Chapter 15 Et-CO2 Monitoring.
12.5.5
808 RESP
Enter 808 resp , the following figure is available, shown as Fig. 12-4.
Fig.12-4
⑴. RES FROM: The respiration signal is acquired using the ECG electrodes, leads and cable. You can select the ECG lead (LL, LA or OFF) for
respiration signal.
⑵. RES MUL:
You select the different signal gains for respiration signal. There are four options: 0.5, 1,2 and 4.
⑶. FILTER: Set filter on/off.
12.6 Maintenance and Cleaning
For detailed information, please refer to Section 9.6 ECG Maintenance and Cleaning.
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CHAPTER 13 TEMP MONITORING
13.1 Procedure of TEMP Measurement
⑴ Plug a reusable TEMP probe into monitor directly.
⑵ Apply the TEMP probe securely to the patient.
⑶ Switch on the monitor.
13.2 TEMP Displaying Area
TEMP measurement result and corresponding message are displayed as follows in the displaying area as Fig.13-1:
Fig. 13-1
T1: Temperature 1 (the value is 35.7 here).
T2: Temperature 2 (the value is 36.8 here).
Difference: The difference between T1 and T2 (the value is 1.1 here).
It will not be shown if “DIFFEREN” item in ALARM sub-menu is set to OFF.
13.3 Operation of TEMP Monitoring
In monitoring status, rotate the knob to highlight the TEMP icon in the TEMP displaying area, and then press the knob, the menu of “TEMP setup”
appears on the bottom of screen as shown below Fig. 13-2:
Fig. 13-2
13.3.1 ALARM
Select “ALARM” in TEMP menu to call up the sub-menu shown as below Fig. 13-3:
Fig. 13-3
NOTE: It only sets TEMP alarm individually; the alarms of other parameters are not affected.
Five items are available for the user to set up, which are HIGH (high limit), LOW (low limit), ALARM (OFF, HIGH, MEDIUM, and LOW) and
DIFFEREN (Different-Limit). When use the knob to select each item and press the knob, a pull-down list appears for the user to choose his/her
desired selection. Rotate and press the knob to enter the submenu, and proceed to the relevant setup.
DIFFEREN (Different-Limit): it indicates the difference of TEMP(△T). The Patient Monitor offers two channels of TEMP, one of the channels can
connect with the skin probe, the other can connect with the rectal probe, which would induce the difference of TEMP. you can set the limit of
difference of TEMP to trigger the alarm. you can set OFF to this item, then you do not hear the audible alarm of △T.
13.3.2 UNIT
Pick this item to set measurement unit: Centigrade (℃) or Fahrenheit (℉).
13.4 Maintenance and Cleaning
WARNING
Before cleaning the monitor or the probe, make sure that the equipment is switched off and disconnected from the power line.
Cleaning
⑴ The TEMP probe should not be heated above 100℃ (212℉). It should only be subjected briefly to temperatures between 80℃(176℉) and 100
℃ (212℉).
⑵ The probe must not be sterilized in steam.
⑶ Only detergents containing no alcohol can be used for disinfection.
⑷ The rectal probes should be used, if possible, in conjunction with a protective rubber cover.
⑸ To clean the probe, hold the tip with one hand and with the other hand rubbing the probe down in the direction of the connector using a moist
cloth.
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Cinema Series Manual
CHAPTER 14 IBP MONITORING
14.1 Introduction
The Portable Patient Monitor measures direct blood pressure (SYS, DIA and MAP) of one selected blood vessel through two channels, and
displays two BP waveforms measures direct blood pressure (SYS, DIA and MAP). The pressure labels are as follow:
ABP: Arterial blood pressure
PAP: Pulmonary arterial pressure
CVP: Central vein pressure
This function is optional.
14.2 Precautions during IBP Monitoring
WARNING

The operator should avoid contact with the conductive parts of the appurtenance when being connected or applied.

When the monitor is used with high frequency surgical equipment, the transducer and the cables must be avoided conductive
connection to the high frequency equipment to protect against burns to the patient.

Disposable IBP transducer or domes should not be reused.

Calibrate the instrument either whenever a new transducer is used, or as frequency as dictated by your Hospital Procedures
Policy.

If any kind of liquid, other than solution to be infused in pressure line or transducer, is splashed on the equipment or its
accessories, or may enter the transducer or the monitor, contact the Hospital Service Center immediately.
14.3 Monitoring Procedure
Preparatory steps for IBP measurement:
⑴ Plug the pressure cable into corresponding socket and check that the monitor is switched on.
⑵ Prepare the pressure line and transducer by flushing through the system with normal saline solution. Ensure that the system is free of air
bubbles.
⑶ Connect the patient catheter to the pressure line, making sure that there is no air present in the catheter or pressure line.
WARNING
If there are air bubbles in the pressure line or the transducer, you should flush the system with the solution to be infused.
⑷ Position the transducer so that it is at the same level with the patient‟s heart, approximately mid-axillary line, as shown in Fig. 14-1.
⑸ Check if you have selected the correct label name.
⑹ Zero the transducer.
Note: if the transducer will not zero, check that the transducer is open to atmospheric air and that it is connected properly. Retry to zero the
transducer again. If the error condition still does not clear, contact the Hospital Service Center.
Fig. 14-1
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Cinema Series Manual
14.4 IBP Displaying Area
IBP measured result and corresponding message are displayed in the displaying area as Fig. 14-2:
Fig. 14-2
S: systolic pressure (the value for IBP1 is 115 here. and the value for IBP2 is 117 here.)
D: diastolic pressure (the value for IBP1 is 79 here, and the value for IBP2 is 81 here.)
M: mean arterial pressure (the value for IBP1 is 95 here, and the value for IBP2 is 97 here.)
Labels: ABP, CVP, PAP (both the labels for IBP1 and IBP2 are ABP here.)
14.5 Operation of IBP Monitoring
WARNING:Only operator selects “IBP EXT” for “MODE” item in SYSTEM MENU SETUP, IBP operation will be realized. Now IBP
displaying area is shown under NIBP displaying area.
14.5.1 BP TYPE
Press the knob to switch from one mode to other mode. There are three modes are viable: NIBP, IBP1, IBP2. NIBP is none invasive blood
pressure, IBP1, IBP2 channels are invasive blood pressure, whose menus are different as per various modes.
If you select IBP1 item for “BP TYPE”, the BP sub-menu will be shown as Fig. 14-3:
Fig. 14-3
If you select IBP2 item for “BP TYPE”, the BP sub-menu will be shown as Fig. 14-4:
Fig. 14-4
14.5.2 ALARM
If you have picked IBP1 type and pressed ALARM item, the sub-menu will be shown as Fig.14-5:
Fig.14-5
If you have picked IBP2 type and pressed ALARM item, the sub-menu will be shown as Fig.14-6:
Fig.14-6
NOTE: It only sets IBP alarm individually; the alarm of other parameters will not be affected.
Five items are available for the user to set up, which are SYS (systolic limit), MEAN (the limit of mean arterial pressure), DIAS (diastolic limit),
ALARM (off, high, medium, low), and CALIBARTE. When use the knob to select each item and press the knob, a pull-down list appears for the
user to choose his/her desired selection.
14.5.3 UNIT
Pick this item to set measurement unit. (Option: mmHg or Kpa)
14.5.4 BASELINE
The user may adjust the BASELINE of the waveforms displayed on the screen. Available options are: 0-50.
Fig.14-7
14.5.5 SCALE
Used to access the sub-menu of IBP SCALE ADJUST, in which the user may adjust the amplitude of the two waveforms displayed on the screen.
Six options are available: 20mmHg/cm, 40mmHg/cm, 60mmHg/cm, 80mmHg/cm, 100mmHg/cm, and 200mmHg/cm.
14.5.6 Label
There are three options for selection: ABP, CVP, PAP. You can set the data according to the tube location of monitoring BP, the relevant label will
be displayed in the IBP displaying area.
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WARNING
You must never perform this procedure while patient is being monitored.

Close the 3-way that was open to atmospheric pressure for the zero calibration.

Attach the tubing to the sphygmomanometer.

Make connection that would lead to patient is off.
14.6 IBP Calibration
14.6.1 Zeroing the Transducer
WARNING: Close the one way of the transducer‟s three-way connected to the patient before zeroing.

Transducer should be connected with air before zeroing

Put the transducer at the same level with the patient’s cardio, namely approximately mid-axillary line’s level.

The zeroing must be done before the monitor used to monitor the patients and at least one time everyday. (The zeroing must be
done after inserting or taking out the power supply wire.)
1. Connect the transducer with cable, install DOME. The both ends of DOME should be connected with air (e.g.: IBP1)
2. Set the pressure revising value to zero.
3. The pressure value will be shown on the IBP channel1, S, D value also will be shown, and please take the shown S value as criterion
4. The S value should be 0, 1, 2, or 3. The tolerance is 0.4 kPa (3mmHg).
5. If the error exceeds the tolerance, please enter into IBP1 pressure revising item to adjust IBP1 revising value and let S value be zero.
Select the “CALIBRATE” item in Fig. 14-6 and then the following menu will be appear on the bottom of the screen. And select the “ZERO” to
zeroing the transducer.
Fig.14-8
14.6.2 Mercury manometer calibrations
NOTE: Mercury manometer calibration should be processed when starting to use the new transducer or regularly be processed
according to hospital’s rules.

The purpose of the calibration is to insure that the system can give accurate measure result.

You must zero the transducer before the mercury manometer calibration.

If you want to calibrate the transducer by yourself, required equipment should be:
Standard sphygmomanometer
3-way switch
About 25 centimeters long pipeline
Calibration steps
Fig. 14-9
1. Close the 3-way that was open to atmospheric pressure for the zero calibration
2. Connect the pipeline to the sphygmomanometer
3. Ensure the patient isn‟t connected with the transducer.
4. Connect another 3-way switch with the 3-way that disconnects with the patient‟s pipeline. Connect injector to one port of the 3-way, then the
sphygmomanometer and pipeline be connected the other port, open one way of the 3-way which connect with sphygmomanometer. Ensure
pressure value is zero, press “ZERO” item to set the value as “0”.
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Cinema Series Manual
Fig. 14-10
When presses “ZERO”, the menu shows as follow:
Fig. 14-11
5.Inflating the sphygmomanometer to the 200 mmHg (or other appointed value)
6. Then set the” ADJUST” as 200 mmHg (or other appointed value) which is same as sphygmomanometer value. When press “ADJUST”, the
menu shows as follow:
Fig. 14-12
7. After one time calibration the mercury manometer can be deflated, then add pressure renewably, checking the transducer‟s veracity after
calibration. If not correct, please repeat the above steps and redo calibration operation.
8.Remove the blood-pressure pipeline and the additive 3-way.
WARNING:
Never perform this calibration while patient is being monitored.
14.7 Maintenance and Cleaning
WARNING

Before cleaning the monitor or the transducer, make sure that the equipment is switched off and disconnected from the power
line.
Cleaning of IBP transducer (Reusable)
After the IBP monitoring operation is completed, remove the tubing and the dome from the transducer and wipe the transducer diaphragm with
water. Soaking and /or wiping with soap can clean the transducer and cable and water or cleaning agents such as those listed below:
Cetylcide
Wavicide-01
Wescodyne
Cidex
Lysol
Vesphene
Do not immerse the connector in any liquid. After cleaning, dry the transducer thoroughly before storing. Slight discoloration or temporary increase
of surface stickiness of the cable should not be considered abnormal if adhesive tape residue must be removed from the transducer cable, double
seal tape remover is effective and will cause a minimum of damage to the cable if used sparingly. Acetone, Alcohol, Ammonia and Chloroform, or
other strong solvents are not recommended because over time the vinyl cabling will be damaged by these agents.
NOTE

The disposable transducer or domes must not be re-sterilized or reused.

For protecting environment, the disposable transducers or domes must be recycled or disposed of properly.
Sterilization

Liquid Chemical Sterilization
Remove obvious contamination by using the cleaning procedure described previously. Select a sterilant that your hospital or institution has
found to be effective for liquid chemical sterilization of operation room equipment. Buffered gluteraldehyed (e.g. Cidex or Hospisept) has
been found to be effective. Do not use quaternary cationic detergents such as zephiran chloride. If the whole unit is to be sterilized, immerse
the transducer but not the electrical connector into the sterilant for the recommended sterilizing period. Be sure that the dome is removed.
Then rinse all transducer must be thoroughly dried before storing.

Gas Sterilization
For more complete asepsis, use gas sterilization.
Remove obvious contamination by using the cleaning procedure described previously. To inhibit the formation of ethylene glycol when
ethylene oxide gas is used as the disinfectant, the transducer should be completely dry.
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Cinema Series Manual
CHAPTER 15 Et-CO2 OR ANAESTHESIA GAS MONITORING
Only one of Et-CO2 and anaesthesia gas monitoring function is effective. These two functions are optional.
The patient monitor provides Side-Stream to measure the End-tidal CO2 as per the requirements of users. When CO2 module functions, the
parameters and waveform will be displayed on the screen.
WARNING

Do not use the device in the environment with flammable anesthetic gas.

The device can only be operated by trained personnel who are familiar with this manual.

CO2 module should be avoided from crash and vibration.
NOTE

The instruction is only for the patient monitor equipped with CO2 module.

When a patient monitor is equipped with CO2 module, the option is LoFlo CO2 module, CPT or WELLYN CO2 module.
15.1 Assembling the patient sampling kit
For LoFlo CO2 module:
The accessories list:
1. CO2 module (Fig.15-1)
2. Sample line (Fig.15-2)
Fig. 15-1 CO2 module
Fig. 15-2 Sample line
Connect the sampling kit:
1. Take out the CO2 module from the accessories. Connect the sampling line with the CO2 module. Refer to fig. 15-3.
Fig. 15-3
2. Connect the CO2 module to the trap receptacle on the monitor side panel.
NOTE: The interface used to connect with the CO2 module is marked with the word “ET-CO2”, this interface is usually configured on the
side panel of monitor.
Assemble the sampling line:
These kits are intended for monitoring the CO2 of non-intubated patients. For a non-intubated patient, the sample line can be connected to
patient‟s nose directly. (Refer to Fig. 15-4)
Fig. 15-4
CAUTION:
The nasal and nasal/oral cannula kits are intended for single patient use. Do NOT reuse or sterilize the cannula kit as system
performance will be compromised.
Directions for use of single patient use nasal and nasal/oral sidestream kits:
1. Verify that the cannula kit is clean, dry and undamaged. Replace the cannula kit if necessary.
2. Insert the sample cell into the sample cell receptacle. A “click” will be heard when properly inserted.
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Cinema Series Manual
3. Perform an sample cell zero if prompted by the host system.
4. Place the nasal cannula kits onto the patient as shown in Fig. 15-4.
5. Some patients are prone to mouth breathing. The oral/nasal sampling cannual should be used on these patients, as most, if not all of the CO2 is
exhaled through the mouth. If a standard nasal CO2 sampling cannula is used with these patients, the ET CO2 number and capnogram will be
substantially lower than actual.
6. When using the nasal or oral/nasal CO2 sampling kits with oxygen delivery, place the cannula on the patient as shown in Fig. 15-4 and then
attach the oxygen supply tubing to the oxygen delivery system and set the prescribed oxygen flow.
7. If the oral/nasal cannula is used, the oral sampling tip may need to be trimmed to adequately fit the patient (see Fig. 15-5). Place the cannula
onto the patient as shown in Fig. 15-5. Observe the length of the oral cannula tip. It should extend down past the teeth and be positioned in the
mouth opening. Remove the cannula from the patient if the tip needs to be trimmed.
Fig. 15-5
CAUTION
● Do NOT cut the oral cannula tip when the cannula is on the patient.
● Remove the LoFlo sampling kit sample cell from the LoFlo CO2 module inlet port when not is use.
15.2 Operation of Et-CO2 Monitoring
WARNING
Ensure to select “CO2” for “TYPE” item in RESP sub-menu before monitoring patient’s Et-CO2.
NOTE
When you set “TYPE” to “CO2” item, the Et-CO2 waveform (plethysmogram) will be instead of RESP waveform (line) gained by
trans-thoracic impedance.
For LoFlo CO2 module:
Rotate knob and select the “CO2SETUP” item in RESP menu to access the following sub-menu as Fig. 15-6.
Fig. 15-6
⑴ HIGH: The high limit of alarm
⑵ LOW: The low limit of alarm
⑶ ALARM: Set the alarm on or off and the level of the alarm
⑷ InsCO2: Inspiratory CO2, there are two options in this item ON or OFF, if you select ON for this item, the value of
inspired CO2 will be presented on the RESP frame as Fig.15-15, select OFF, the value will not presented on the
RESP frame.
⑸ OTHERSET: refer to section 15.3 Et-CO2 calibration.
Fig. 15-7
For CPT or WELLYN CO2 module:
Rotate knob and select the “CO2SETUP” item in RESP menu to access the following sub-menu as Fig. 15-8.
Fig. 15-8
Following functions can be realized via CO2SETUP menu.
⑴ HIGH: The high limit of alarm
⑵ LOW: The low limit of alarm
⑶ ALARM: Set the alarm on or off and the level of the alarm
⑷ InsCO2: Inspiratory CO2, there are two options in this item ON or OFF., if you select ON for this item, the value of inspired CO 2 will be
presented on the RESP frame as Fig.15-15, select OFF, the value will not presented on the RESP frame.
⑸ PUMP: Pump mode, it offers 50ml/min, 100ml/min and 150ml/min to select. We recommend adopt standard mode 100ml/min. If the
patient‟s respiration is quite weak, please use 150ml/min mode.
⑹ UNIT: There are 2 items are available: mmHg, %, select proper unit as the clinical request.
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Cinema Series Manual
15.3 Et-CO2 calibration
Rotate the knob to highlight the RESP icon in the displaying area, pick the RESP icon to call up the RESP setup menu as Fig. 15-9, and then select
CO2 for the type item.
Fig. 15-9
For LoFlo CO2 module:
When you select “CO2SETUP” item, relative menus are as below:
Fig. 15-10
And then select “OTHERSET” to enter into the following calibration menu:
Fig. 15-11
COMPENSA: By selecting this menu you can set the compensation items (refer to Fig. 15-12).
ET-CO2: By selecting this menu you can set the calculation time of the ET-CO2.
NORETIME: The numeric displaying time after without respiration. 10s~60s for selection
ZEROGT: By selecting this menu you can set the measuring environment. There are “Room air” and “100% Nitrogen”.
UNIT: By selecting this menu you can set the unit of measurement. There are mmHg, % and Kpa for selection.
Select the “COMPENSA” to calibrate the CO2 module if necessary:
Fig. 15-12
BAR PRE: By selecting this menu you can set the current air pressure. The setting range is from 400 to 850.
O2:
By selecting this menu you can set the O2 compensation. The compensation numerical value is from 1% to 100%.
ANE AGEN: By selecting this menu you can set the compensation of anesthetic. The compensation range is from 0.0% to 20.0%.
FGTEMP: By selecting this menu you can compensate the temperature of the flowing gases. The compensation range is from 0.0% to 50.0%.
BAL GAS: By selecting this menu you can select the balance gas. There are Helium, N2O and None for selection.
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Cinema Series Manual
CHAPTER 16 MAINTENANCE AND TROUBLESHOOTING
16.1 Maintenance
Customers should responsible for periodic maintaining of the product and its accessories. It is very important for our company to warranty the
service and repairs. We reserve the rights to change the time limit of warranty and replacement if the following steps are non-implemented:
⑴ An effective maintenance plan should be designed for the product and its reusable accessories. It includes periodic inspections and cleaning. It
should be accord with the policy of local infection control department or health institution.
⑵ Be sure to disconnect power line to the product before cleaning and inspecting.
⑶ Periodic cleaning (accordance with the policy of local infection control department or health institution). Dampen a cloth with a commercial,
nonabrasive cleaner and wipe the tip, bottom, and front surfaces lightly. The following admissive liquor can be used:
●
Ammonia (diluted),
●
Glutaraldehyde,
●
Sodium hypochlorite bleacher (diluted)
●
Mildness suds (diluted).
Please obey the following rules to prevent from damaging the product:
●
Always using diluted liquor recommend by the manufacture.
●
Always wipe up cleaning liquor after cleaning.
●
Always not use cleaning matter containing wax.
●
Always not spray water or cleaning liquor over the product, neither allows any liquid to flow into power switcher, connector, or other
intake.
●
Always not use the following cleanser:
○ any kinds of abrasive cleaner and menstruum
○ acetone
○ ketone
○ spirituous cleanser
○ lycine.
●
In order to clean display, please use clean flexible cloth and make it wet with cleanser in the glass. Always not spray cleanser in the
glass on the screen, neither use alcohol or medical disinfector, such as glutaraldehyde or lycine.
●
Please use warm wet cloth and mildness suds to clean cables and lead wires. Other cleaning ways may reduce the life of cables and
lead wires.
Recommendation:
●
Do not power on/off frequently.
●
Take down and safekeeping probes, lead wires, gluey tube after using product.
●
Please hold the product in packaging if the product would not work for a long time.
●
Do not make the product contact with chemical medicine and reagent.
●
Battery Maintenance
If the monitor has not been used for a long period of time, you should charge the battery fully every two months. To charge the battery,
connect the monitor to an AC outlet. Usually, a complete battery recharge requires 8 hours. The battery should be stored in the
temperature of 25℃.
Note: Storing the battery for a long period more than one year without charging the battery may degrade the battery capacity because
of self-discharge.
Please use the battery in temperature range: from -15℃ to 50℃(from 5℉ to 122℉).
Note: If the monitor equipped with the battery is always operated beyond normal temperature range, the useful life of the battery may
be shortened.
Note: Dispose of this product and used batteries in accordance with the local ordinances and regulations for the disposal of electronic
products.
If there is any abnormity, stop working. It can be reused after inspecting and repairing by technician.
16.2 Troubleshooting
No display after power on
Check the power connections, the power adapter.
ECG wave is not correct when monitoring the patient
Check the LEAD wire and the electrodes position.
No SpO2 wave and pulse rate display when monitoring
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Cinema Series Manual
Check the probe connection and the finger temperature
Cuff inflation lacked when measuring blood pressure.
Cuff too loose or leak, Check the connections of tube.
No ECG analysis function
Check this function open or not in ECG menu
Can not printing
Check the print cable, print power, printer setup and the printer type.
16.3 Warranty and Repair
16.3.1 Warranty and repair content
⑴Repair response time: AM9:00 to PM17: 30 on Monday to Friday except legal holiday.
Repair time: AM9:00 to PM17: 30 on Monday to Friday except legal holiday.
⑵Repair service: Including telephone support, field inspecting, fittings replacement.

Telephone support: we can give guidance to customer‟s engineer to inspecting the instrument when you dial our service line.
Professional repair engineer online provides technical support.

Field inspecting: we will send engineers to repair the instrument if necessary. Certified engineers of our company or local repair team
trained by our company provide this service.

Fittings replacement: if necessary, we will replace the damaged fittings according to contract. The damaged fittings should be returned to
us expect for special reason.
⑶ Spare machine for repair: it is used to replace the damaged machine for customer using, customer should send the damaged machine to us to
repair.
⑷ Repair for sponsoring and contributing machine: customer should send the machine to us to repair.
⑸ Updating software is free.
16.3.2 Exemption and restriction:
⑴ Warranty does not apply to the damage or loss sustained due to well-known act of god, such as fire, earthquake, flood, thunder, cyclone, hail,
electrical storm, blast, building collapse, commotion, etc.
⑵ Non-service items:
① The cost and insurance of dismantling and testing, overhauling, reinstall, transfer, moving the instrument or parts.
② Damage or loss sustained due to inspected or repaired by other institute that is not certified
③ Damage or alteration by anyone other than our company authorized service personnel.
⑶ The damage or lose sustained due to connection to peripheral equipment (such as printer, computer etc.), that are not provided by our
company are not covered by the warranty.
⑷ Obligation restriction: In the duration of warranty, if the operators use other fittings that are not provided by us, we reserve the right to cancel
warranty.
16.3.3 Customer guarantees:
⑴ Read the user manual in details before operation.
⑵ Operation and maintenance according to the user manual, and guarantee the requests of power and environment.
16.3.4 Non-warranty and Non-replacement Policy
● The work environment is not eligible. For example, if the relative humidity exceeds 70%, circuit boards of the instrument may be
damaged due to condensate.
● If voltage of power supply is fluctuant and exceeds 240VAC, the power adapter may be damaged.
● There is smear or marks that are not belong to the instrument and cannot be removed from the outside surface of the instrument.
● The instrument or its fittings are mechanically damaged.
● The circuit is short and damaged due to liquor or other stuff flow in the instrument or its fittings.
● All probe and its accessories are not free replacement.
● Leakage of air cell of blood pressure sleeve due to improper storage or operation is not free replacement.
● The malfunction with result from improper repair by anyone other than our company authorized service personnel.
● The malfunction with result from improper use.
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Cinema Series Manual
● If any code label of parts is damaged or missing, this warranty shall become null and void. For example of code label.
16.3.5 Customer special warranty period
Due to we stipulate the warranty period according to the relevant electronic regulation of country, which we stipulate is on year, accessory is three
months. When customer requires to extending the warranty period, you should consider whether it is reasonable. Because electronic product
quickly replace, as to the warranty period over three years, purchased accessories may be out of stock. In this case, we will adopt to entirely
upgrade or replace the old, you should pay the minimum acceptable cost of renewed device.
16.3.6 Repackaging
Remove all the detectors, leads and accessories and put them into the plastic bag.
Try to use the original packaging case and materials. Any damage due to the improper packaging during the transportation shall be responsible by
the user.
If you are still within the period of warranty, please present the warranty card and one copy of the invoice or receipt.
Please present a written note detailing all the troubles when repairing the instrument.
16.4 Storage and Transportation
Storage: Temperature: -20℃~55℃, Humidity: ≤93%
Transportation: Transportation: via road, rail or aviation after properly insured and packaged.
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Cinema Series Manual
Appendix
List of Accessories
The accessories list below is specified to be used in this device of our company. The user can order the various accessories according to the
hospital requirements.
The standard accessories:
No.
Accessories
Type
1
ECG-cable (standard)
98ME01EA070
2
Electrode
3
NIBP cuff and extended tube (for adult)
RNC0001A-013B
4
SpO2 finger clip probe and extension cable (for adult)
A0209-SA126PV
5
TEMP probe (Skin or rectal)
YSI400
6
Power cable
YFC SF
7
Grounding wire
8
Operator‟s manual
2153
Φ6x3500
――
The optional accessories:
No.
Accessories
1
Anti-defibrillation ECG-cable
2
NIBP cuff (for Pediatric and infant)
Type
RECV5027E
RNH003I pediatric
RNC005N infant
RSJ003DI pediatric
3
SpO2 probe and extension cable (for pediatric and infant)
4
Thermal array recorder
5
Paper for recorder
6
IBP module and IBP accessories
A0209-SW203PU
(infant)
7
42584-05
RESPIRONIC
CO2 module and CO2 accessories
CAPNOSTAT 5
ALL the accessories supplied by our company comply with CE Standard.
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Cinema Series Manual
Tıbbi ve Elektronik Ürünler Sanayi ve Ticaret A.Ş.
Merkez / Head Office
Medical and Electronic Products Industry and Trade Inc.
Gersan Sitesi 656. Sokak No:45
Ergazi 06370 Ankara / TÜRKİYE
www.tepa.com.tr
[email protected]
T: +90 312 257 04 77
F: +90 312 257 04 78
TEPA is an ISO EN 13485 certified company. Our products are designed to meet EN 60601-1 patient safety specifications. All Rights Reserved. Copyrights © Tepa Inc.2010,
Ankara.
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