DPM Central Station Operator`s Manual

DPM Central Station Operator`s Manual
DPM Central Station
Operator’s Manual
© Copyright 2013-2014 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights
reserved.
For this Operator’s Manual, the issue date is 2014-11.
WARNING

Federal Law (USA) restricts this device to sale by or on the order of a physician.
DPM Central Station Operator’s Manual
I
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this Mindray product and this manual.
This manual may refer to information protected by copyright or patents and does not convey
any license under the patent rights or copyright of Mindray, or of others.
Mindray intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden.
Release, amendment, reproduction, distribution, rental, adaptation, translation or any other
derivative work of this manual in any manner whatsoever without the written permission of
Mindray is strictly forbidden.
,
and
are the trademarks, registered or otherwise, of
Mindray in China and other countries. All other trademarks that appear in this manual are
used only for informational or editorial purposes. They are the property of their respective
owners.
II
DPM Central Station Operator’s Manual
Manufacturer’s Responsibility
Contents of this manual are subject to change without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be
liable for errors contained herein or for incidental or consequential damages in connection
with the furnishing, performance, or use of this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product,
only if:

all installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel;

the electrical installation of the relevant room complies with the applicable national
and local requirements; and

the product is used in accordance with the instructions for use.
NOTE

This equipment must be operated by skilled/trained clinical professionals.
WARNING

It is important for the hospital or organization that uses this equipment to perform
a reasonable service/maintenance plan. Neglecting this may result in machine
breakdown or personal injury.
DPM Central Station Operator’s Manual
III
Warranty
Mindray warrants that components within its products will be free from defects in
workmanship and materials for a period of three years from the date of purchase except that
disposable or one-time use products are warranted to be free from defects in workmanship
and materials up to a date one year from the date of purchase or the date of first use,
whichever is sooner.
This warranty does not cover consumable items such as, but not limited to, batteries,
external cables, and sensors.
Mindray shall not be liable for any incidental, special, or consequential loss, damage, or
expense directly or indirectly arising from the use of its products. Liability under this
warranty and the buyer’s exclusive remedy under this warranty is limited to servicing or
replacing the affected products, at Mindray’s option, at the factory or at an authorized
distributor, for any product which shall under normal use and service appear to Mindray to
have been defective in material or workmanship. Recommended preventative maintenance,
as prescribed in the service manual, is the responsibility of the user and is not covered by
this warranty.
No agent, employee, or representative of Mindray has any authority to bind Mindray to any
affirmation, representation, or warranty concerning its products, and any affirmation,
representation or warranty made by any agent, employee, or representative shall not be
enforceable by buyer or user.
THIS WARRANTY IS EXPRESSLY IN LIEU OF, AND MINDRAY EXPRESSLY
DISCLAIMS, ANY OTHER EXPRESS OR IMPLIED WARRANTIES, INCLUDING
ANY IMPLIED WARRANTY OF MERCHANTABILITY, NON-INFRINGEMENT, OR
FITNESS FOR A PARTICULAR PURPOSE, AND OF ANY OTHER OBLIGATION ON
THE PART OF MINDRAY.
Damage to any product or parts through misuse, neglect, accident, or by affixing any
non-standard accessory attachments, or by any customer modification voids this warranty.
Mindray makes no warranty whatsoever in regard to trade accessories, such being subject to
the warranty of their respective manufacturers.
A condition of this warranty is that the equipment or accessories which are claimed to be
defective be returned when authorized, freight prepaid to Mindray DS USA, Inc., Mahwah,
New Jersey 07430 or its authorized representative. Mindray shall not have any
responsibility in the event of loss or damage in transit.
IV
DPM Central Station Operator’s Manual
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or
other charges or liability for direct, indirect or consequential damages or delay resulting
from the improper use or application of the product or the use of parts or accessories not
approved by Mindray or repairs by people other than Mindray authorized personnel.
This warranty shall not extend to:

Malfunction or damage caused by improper use or man-made failure.

Malfunction or damage caused by unstable or out-of-range power input.

Malfunction or damage caused by force majeure event, such as (i) flood, fire and
earthquake , or other similar elements of nature or acts of God; (ii) riots, war, civil
disorders, rebellions, or revolutions in any country; or (iii) any other cause beyond the
reasonable control of Mindray.

Malfunction or damage caused by improper operation or repair by unqualified or
unauthorized service people.

Malfunction of the instrument or part whose serial number is not legible enough.

Others not caused by instrument or part itself.
DPM Central Station Operator’s Manual
V
Company Contact
VI
Manufacturer:
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address:
Mindray Building,Keji 12th Road South, High-tech industrial
park,Nanshan,Shenzhen 518057, P.R.China
Website:
www.mindray.com
E-mail Address:
[email protected]
Tel:
+86 755 81888998
Fax:
+86 755 26582680
Distributor:
Mindray DS USA, Inc.
Address:
800 MacArthur Boulevard Mahwah, New Jersey 07430 USA
Tel:
1.800.288.2121, 1.201.995.8000
Website:
www.mindray.com
DPM Central Station Operator’s Manual
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in
accordance with its function and intended use. Observance of this manual is a prerequisite
for proper product performance and correct operation and ensures patient and operator
safety.
This manual is based on the maximum configuration and therefore some contents may not
apply to your product. If you have any question, please contact Mindray.
This manual is an integral part of the product. It should always be kept close to the
equipment so that it can be obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working
knowledge of medical procedures, practices and terminology as required for monitoring of
critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the
setup or data displayed on the equipment.
Conventions

Italic text is used in this manual to quote the referenced chapters or sections.

The terms danger, warning, and caution are used throughout this manual to point out
hazards and to designate a degree or level or seriousness.
DPM Central Station Operator’s Manual
VII
FOR YOUR NOTES
VIII
DPM Central Station Operator’s Manual
Contents
1 Safety ......................................................................................................................................... 1-1 1.1 Safety Information .......................................................................................................... 1-1 1.1.1 Warnings............................................................................................................... 1-2 1.1.2 Cautions ............................................................................................................... 1-3 1.1.3 Notes .................................................................................................................... 1-4 1.2 Equipment Symbols ........................................................................................................ 1-5 2 The Basics ................................................................................................................................. 2-1 2.1 Intended Use ................................................................................................................... 2-1 2.2 Application Scope of the Manual .................................................................................... 2-1 2.3 Contraindications ............................................................................................................ 2-2 2.4 Functions & Features ...................................................................................................... 2-2 2.5 Components .................................................................................................................... 2-3 2.6 Networking Mode ........................................................................................................... 2-5 2.7 Controls ........................................................................................................................... 2-6 2.7.1 Mouse ................................................................................................................... 2-6 2.7.2 Keyboard .............................................................................................................. 2-7 2.7.3 Controls ................................................................................................................ 2-7 3 Installation and Maintenance.................................................................................................. 3-1 3.1 Unpacking and Inspection ............................................................................................... 3-1 3.2 Installation ....................................................................................................................... 3-2 3.2.1 Environmental Requirements ............................................................................... 3-2 3.2.2 Power Requirements ............................................................................................ 3-3 3.3 Starting the System ......................................................................................................... 3-3 3.4 Shutting Down the System .............................................................................................. 3-4 3.5 Maintenance .................................................................................................................... 3-5 3.5.1 General Inspection ............................................................................................... 3-5 3.5.2 General Cleaning .................................................................................................. 3-6 4 Display ....................................................................................................................................... 4-1 4.1 Overview ......................................................................................................................... 4-1 4.2 Single-Screen Mode ........................................................................................................ 4-1 4.2.1 Main Screen ......................................................................................................... 4-1 4.2.2 Auxiliary Screen ................................................................................................... 4-4 4.3 Dual-Screen Mode .......................................................................................................... 4-5 4.4 Multi-Screen Mode ......................................................................................................... 4-6 4.5 Screen Layout ................................................................................................................. 4-7 5 Patient Management ................................................................................................................ 5-1 DPM Central Station Operator’s Manual
1
5.1 Admitting Patients ........................................................................................................... 5-1 5.1.1 Admitting Patient through Central Station ........................................................... 5-2 5.1.2 Admitting Patient through the Monitor ................................................................ 5-4 5.1.3 Auto Waveform Storage ....................................................................................... 5-4 5.2 Obtaining Patient Information......................................................................................... 5-5 5.3 Patient Information Synchronization .............................................................................. 5-6 5.4 Modifying Patient Information........................................................................................ 5-6 5.4.1 Inconsistent Patient Information between Monitor and Central Station .............. 5-7 5.5 Discharging a Patient ...................................................................................................... 5-7 5.6 Switching Patient Windows ............................................................................................ 5-8 5.7 Changing to Idle Sector ................................................................................................... 5-9 5.8 Transferring a Patient ...................................................................................................... 5-9 5.8.1 Transferring a Patient on Central Station ............................................................. 5-9 5.8.2 Transferring a Patient on Monitor ...................................................................... 5-10 6 Multibed Screen ....................................................................................................................... 6-1 6.1 Overview ......................................................................................................................... 6-1 6.2 Patient Window ............................................................................................................... 6-2 6.2.1 Non-Spot Patient Window.................................................................................... 6-2 6.2.2 Spot Patient Windows .......................................................................................... 6-3 6.2.3 Patient Window in Monitoring Status .................................................................. 6-4 6.3 Display Setup .................................................................................................................. 6-9 6.3.1 Multibed Waveform Setup ................................................................................... 6-9 6.3.2 Multibed Numeric Setup .................................................................................... 6-10 7 ViewBed .................................................................................................................................... 7-1 7.1 Overview ......................................................................................................................... 7-1 7.2 ViewBed Screen .............................................................................................................. 7-2 7.2.1 Icon Area .............................................................................................................. 7-3 7.2.2 Waveform Area .................................................................................................... 7-4 7.2.3 Parameter Area ..................................................................................................... 7-4 7.3 Parameter Setup .............................................................................................................. 7-4 7.4 Basic Operations ............................................................................................................. 7-5 7.4.1 Alarm Setup.......................................................................................................... 7-5 7.4.2 Resetting Alarms on Monitors.............................................................................. 7-5 7.4.3 Silencing a Bedside Monitor ................................................................................ 7-5 7.4.4 Pausing Alarms on Monitors ................................................................................ 7-5 7.4.5 Standby................................................................................................................. 7-6 7.4.6 Controlling a Bedside Monitor to Exit Standby ................................................... 7-6 7.4.7 NIBP Measurement .............................................................................................. 7-6 7.4.8 Freeze/Unfreeze Waveforms ................................................................................ 7-7 7.4.9 Show/Hide Alarm Limits ..................................................................................... 7-7 7.4.10 Show/Hide Dynamic Trends .............................................................................. 7-7 7.4.11 Parameter Order ................................................................................................. 7-8 2
DPM Central Station Operator’s Manual
7.4.12 Record ................................................................................................................ 7-8 7.4.13 Print .................................................................................................................... 7-8 7.4.14 Show/Hide Multi-Lead ECG.............................................................................. 7-9 7.4.15 Show/Hide NIBP Table .................................................................................... 7-10 7.4.16 Show/Hide BIS Expand View .......................................................................... 7-10 7.4.17 Show/Hide Device Integration Expand View................................................... 7-10 7.4.18 Display ST Segments ........................................................................................7-11 8 Alarm Control .......................................................................................................................... 8-1 8.1 Alarm Structure ............................................................................................................... 8-1 8.2 Alarm Mode .................................................................................................................... 8-1 8.2.1 Audible Alarms..................................................................................................... 8-2 8.2.2 Reminder Tone ..................................................................................................... 8-2 8.2.3 Alarm Messages ................................................................................................... 8-3 8.2.4 Color Changes ...................................................................................................... 8-3 8.2.5 Parameter Flashes................................................................................................. 8-3 8.3 Alarm Volume ................................................................................................................. 8-4 8.4 Alarm Setup..................................................................................................................... 8-4 8.4.1 Parameter Setup Tab Sheet ................................................................................... 8-4 8.4.2 Alarm Setup Tab Sheet ......................................................................................... 8-5 8.5 Pausing Alarms ............................................................................................................... 8-7 8.6 Resetting Alarms ............................................................................................................. 8-7 8.7 Silencing the Monitors .................................................................................................... 8-8 8.8 Latching Alarms .............................................................................................................. 8-8 8.9 Central Station System Silence ....................................................................................... 8-9 8.10 Central station Alarm Audio Off ................................................................................. 8-10 9 Review ....................................................................................................................................... 9-1 9.1 Online Review................................................................................................................. 9-1 9.1.1 Dynamic Short Trend ........................................................................................... 9-1 9.1.2 Trend Review ....................................................................................................... 9-2 9.1.3 Waveform Review ................................................................................................ 9-4 9.1.4 C.O. Review ....................................................................................................... 9-14 9.1.5 Event Review ..................................................................................................... 9-15 9.1.6 12-Lead Review ................................................................................................. 9-19 9.1.7 ST Review .......................................................................................................... 9-20 9.2 Discharged Patients ....................................................................................................... 9-22 9.2.1 All Patients ......................................................................................................... 9-23 10 Calculation ............................................................................................................................ 10-1 10.1 Drug Calculation ......................................................................................................... 10-1 10.2 Hemodynamics Calculation ........................................................................................ 10-4 10.3 Oxygenation Calculation ............................................................................................. 10-5 10.4 Ventilation Calculation ................................................................................................ 10-7 DPM Central Station Operator’s Manual
3
10.5 Renal Calculation ........................................................................................................ 10-8 11 Record, Print and Save as.....................................................................................................11-1 11.1 Record ..........................................................................................................................11-1 11.1.1 Installing Recorder Paper ..................................................................................11-2 11.1.2 Recorder Operations ..........................................................................................11-4 11.1.3 Recording Control .............................................................................................11-8 11.2 Print ..............................................................................................................................11-9 11.2.1 Printing Support ................................................................................................11-9 11.2.2 Printing Contents ...............................................................................................11-9 11.2.3 Printing Operations..........................................................................................11-10 11.2.4 Printing Control ...............................................................................................11-17 11.3 Save as ........................................................................................................................11-18 12 System Setup......................................................................................................................... 12-1 12.1 General Setup .............................................................................................................. 12-1 12.2 Admin Setup ................................................................................................................ 12-3 12.2.1 Setting Color .................................................................................................... 12-3 12.2.2 Display Setup ................................................................................................... 12-4 12.2.3 Alarm ................................................................................................................ 12-7 12.2.4 Trend Group ..................................................................................................... 12-8 12.2.5 Monitor List ..................................................................................................... 12-9 12.2.6 Log ................................................................................................................. 12-10 12.2.7 Telemetry .........................................................................................................12-11 12.2.8 Other............................................................................................................... 12-12 13 Remote CMS ......................................................................................................................... 13-1 13.1 Overview ..................................................................................................................... 13-1 13.2 Remote CMS Viewbed Window ................................................................................. 13-1 13.2.1 Beds List .......................................................................................................... 13-2 13.2.2 Physiological Alarm Area................................................................................. 13-2 13.2.3 Technical Alarm Area ....................................................................................... 13-2 13.2.4 Alarm Icon Area ............................................................................................... 13-3 13.2.5 Button Area ...................................................................................................... 13-3 13.2.6 Waveform Area................................................................................................. 13-3 13.2.7 Parameter Area ................................................................................................. 13-3 13.3 Remote CMS Review.................................................................................................. 13-3 13.4 Network Setup and Authorization ............................................................................... 13-4 13.4.1 IP Address Setup .............................................................................................. 13-4 13.4.2 Setting the Network Card for Remote CMS .................................................... 13-4 13.4.3 Authorization .................................................................................................... 13-5 14 Database Backup and Recovery ......................................................................................... 14-1 14.1 Overview ..................................................................................................................... 14-1 4
DPM Central Station Operator’s Manual
14.2 Backup Database ......................................................................................................... 14-2 14.2.1 Select Operation Type ...................................................................................... 14-2 14.2.2 Select Backup Path ........................................................................................... 14-2 14.2.3 Backup Database .............................................................................................. 14-2 14.3 Recover Database ........................................................................................................ 14-3 14.3.1 Select Operation Type ...................................................................................... 14-3 14.3.2 Select Path ........................................................................................................ 14-3 14.3.3 Recover Database ............................................................................................. 14-3 14.4 Rebuild Database ........................................................................................................ 14-4 14.5 Shrink Database .......................................................................................................... 14-4 14.6 Exit Database Backup and Recovery .......................................................................... 14-4 15 System Help .......................................................................................................................... 15-1 15.1 Overview ..................................................................................................................... 15-1 A Technical Specifications ......................................................................................................... A-1 A.1 Requirements................................................................................................................. A-1 A.2 Recorder ........................................................................................................................ A-2 A.3 Wired Network .............................................................................................................. A-2 A.4 Review........................................................................................................................... A-2 A.5 Calculation .................................................................................................................... A-2 A.6 Save as........................................................................................................................... A-3 A.7 Print ............................................................................................................................... A-3 A.8 Record ........................................................................................................................... A-3 A.9 Data Export ................................................................................................................... A-4 B Central Station Alarms ........................................................................................................... B-1 C Units, Symbols, Terms and Formulas ................................................................................... C-1 C.1 Units ............................................................................................................................... C-1 C.2 Symbols .......................................................................................................................... C-2 C.3 Abbreviations.................................................................................................................. C-2 C.4 Formulas ....................................................................................................................... C-10 DPM Central Station Operator’s Manual
5
FOR YOUR NOTES
6
DPM Central Station Operator’s Manual
1 Safety
1.1 Safety Information
The safety statements presented in this chapter refer to the basic safety information that the
operator of the central station shall pay attention to and abide by. There are additional safety
statements in other chapters or sections, which may be the same as or similar to the
followings, or specific to the operations.
WARNING

Indicates a potential hazard situation or unsafe practice that, if not avoided,
could result in death or serious injury.
CAUTION

Indicates a potential hazard or unsafe practice that, if not avoided, could result
in minor personal injury or product/property damage.
NOTE

Provides application tips or other useful information to ensure that you get the
most from your product.
DPM Central Station Operator’s Manual
1-1
1.1.1 Warnings
WARNING
1-2

The device is intended for use only by clinical professionals or under their
guidance. It must only be used by persons who have received adequate training
in its use. Anyone unauthorized or untrained must not perform any operation
on it.

The physiological waveforms, parameters and alarms displayed on the central
station screen are for doctor’s reference only and cannot be directly used as the
basis for clinical treatment. Before giving invasive treatment to a patient, you
must go to the corresponding monitor to confirm the results you have obtained
from the central station.

If any value displayed on the screen of the central station is abnormal or
questionable, first determine the patient’s vital signs by alternative means and
then verify that the central station or monitor is working correctly.

The central station is a clinical information device. Except for using such
components as the mouse and keyboard to perform normal operations, do not
touch or disassemble any other component, especially the power component;
otherwise, it may result in personnel injury.

The computer running the central station software must comply with local
relevant regulations. The central station is intended to connect Mindray
monitors only. Connecting the monitors made by other manufacturers may
cause the values displayed on the central station inaccurate.

The service life of the central station depends on its hardware. Rough treatment,
dropping or collision should be avoided in the operation on the keyboard, mouse
and computer; otherwise, the service life of the central station may be shortened.

Components of the central station, such as the keyboard and mouse, may be
contaminated by microorganism during transport, storage and use. Before
removing them from their packaging, the packaging should be inspected for
damage. In case of any damage, contact the carrier or our company
immediately.

The central station can construct a wireless local area network (WLAN) by
connecting monitors. When data is transmitted via wireless radio frequency
(RF) signals, it may impair the environment or the use of other equipment.
Therefore, the wireless RF equipment must comply with CE, FCC and other
local relevant standards and regulations.

When the central station is transmitting data via wireless RF signals, loss of
patient data may be caused by the interference of other RF signals.
DPM Central Station Operator’s Manual
WARNING

Data communication must be performed within a closed network for all network
functions.

Do not connect the external audio device with the central station.

Do not block the speaker of the central station.
1.1.2 Cautions
CAUTION

All central station equipment must utilize the hospital emergency power system.
Failure to do so will result in loss of monitoring during extended periods of
power failure. Hospitals without an emergency power system should use an
Uninterruptible Power Supply (UPS) to power the central station. When there is
a power failure, the system should be shut down by following the specified
shutdown procedure before the UPS is turned off. If the system has a sudden
power failure, system failure may occur and consequently the system will not
work correctly next time or even have a serious result.

Start or transport the central station host and display in their specified
environment. Otherwise, the central station may be damaged. We will assume
no responsibility for such damages.

System time should be set before the central station is put into use. If the system
time is changed when the central station is in use may result in patient data loss.

Be sure to use standard thermal recorder paper only; otherwise, the recorder
may show poor quality on record, or may be unusable, or the print head of the
recorder may be damaged.

If Windows® 7 Professional Embedded OS is used, please make sure that it is
only used for the central station software rather than other purposes.

Using the “Show Desktop” feature in Windows is prohibited. Installing or using
any other software not provided by Mindray is prohibited. Software that has not
been tested or verified by Mindray may cause the instability of the system.
Mindray assumes no responsibility for this.

When printing data through an external printer, be sure to follow the printer’s
instructions. In case any problem occurs during printing, consult the printer’s
instructions.

To ensure the safety and stability of the network, the LAN connecting the
central station and the monitors should be a closed network which is not
connected with the internet or other external networks.
DPM Central Station Operator’s Manual
1-3
1.1.3 Notes
NOTE
1-4

Keep this manual in the vicinity of the central station so that it can be easily
located when needed.

During normal use, the operator is expected to face the front of the equipment.

The central station is capable of connecting up to 32 monitors and telemetry
transmitters. The cable connecting the monitor to the hub or exchange will not
exceed 100 m; otherwise, it may result in network overload or weak network
signals and consequently errors will occur during data transmission or
displaying.
DPM Central Station Operator’s Manual
1.2 Equipment Symbols
NOTE

Some symbols may not appear on your equipment.

This manual describes a series of typical computer symbols, which may be
slightly different from what are on your computer. The computer symbols
usually have their specific meanings. Refer to your computer’s operator’s
manual or contact our service personnel if you have any question.
Symbol
Description
Caution (Attention, consult accompanying documents)
CAUTION: To reduce the risk of electric shock, do NOT remove.
cover. Refer servicing to qualified service personnel.
Alternating current
Power switch
Keyboard port
Mouse port
Serial communication(COM)port
Display port
Printer port
DPM Central Station Operator’s Manual
1-5
Symbol
Description
USB port or device
Network port
Sound output port
Sound input port
Microphone port
DATE OF MANUAFACTURE
MANUFACTURER
Serial number
Equipotentiality
The following definition of the WEEE label applies to EU member
states only.
This symbol indicates that this product should not be treated as
household waste. By ensuring that this product is disposed of correctly,
you will help prevent bringing potential negative consequences to the
environment and human health. For more detailed information with
regard to returning and recycling this product, please consult the
distributor from whom you purchased it.
* For system products, this label may be attached to the main unit only.
1-6
DPM Central Station Operator’s Manual
2 The Basics
2.1 Intended Use
The central station network transfers information between the DPM central station and other
networked devices. It also allows information transfer between several central stations.
Network connections consist of hardwired network cables and/or wireless LAN (WLAN)
connections. The central station can be used for remote monitor management, storing,
printing, reviewing or processing of information from networked devices, and it is operated
by medical personnel in hospitals or medical institutions.
WARNING

The device is intended for use by qualified physicians or well-trained clinicians
in the specified places. Anyone unauthorized or untrained must not perform any
operation on it.

The physiological waveforms, parameters and alarms displayed on the screen of
the central station are for reference only and cannot be directly used as the basis
for clinical treatment.

If any value displayed on the central station screen is abnormal or questionable,
first determine the patient’s vital signs by alternative means and then verify that
the central station, or corresponding monitor or telemetry transmitter is
working correctly.
2.2 Application Scope of the Manual
If defibrillators are connected to the central monitoring system, the following sections of this
manual may not be applicable.
5.1.1
Admitting Patient through Central Station
5.1.2
Admitting Patient through the Monitor
5.4
Modifying Patient Information
7.3
Parameter Setup
7.4.1
Alarm Setup
7.4.2
Resetting Alarms on Monitors
7.4.3
Silencing a Bedside Monitor
7.4.4
Pausing Alarms on Monitors
7.4.5
Standby
DPM Central Station Operator’s Manual
2-1
7.4.6
Controlling a Bedside Monitor to Exit Standby
7.4.7
NIBP Measurement
8.4
Alarm Setup
8.5
Pausing Alarms
8.6
Resetting Alarms
8.7
Silencing the Monitors
8.8
Latching Alarms
2.3 Contraindications
None.
2.4 Functions & Features
The central station is comprised of powerful system software and high-performance computer
components. It constructs a monitoring network by connecting monitors and telemetry
transmitters. By collecting, processing, analyzing and outputting the information coming
from monitors and telemetry transmitters, the central station can achieve centralized
monitoring over multiple patients so as to greatly promote the efficiency and quality of the
monitoring work.
The central station:
2-2

Is capable of connecting up to 32 monitors that support the CMS+ network protocol.

Is capable of connecting up to 32 telemetry transmitters.

Only supports the Mindray monitoring devices.

Supports individual bed (1-32 bed) frequency setup in each telemetry monitoring
system.

Supports multi-screen display mode.

Is capable of displaying information from 16 monitors in the single-screen mode and 32
monitors in the dual- or multi-screen mode.

Allows you to view a single patient.

Supports the networking between multiple central stations and the Remote central
stations.

Allows you to review up to 240 hours of trend data for each online patient.

Allows you to review up to 720 events for each online patient.

Allows you to review a 4-hour dynamic short trend for each online patient.

Allows you to review up to 720 C.O. measurements for each online patient.

Allows you to review up to 240 hours of ST segments for each online patient.

Allows you to review up to 240 hours of waveforms for each online patient.
DPM Central Station Operator’s Manual

Allows you to review up to 240 hours of compressed waveforms for each online patient.

Allows you to review up to 240 hours of NIBP measurements for each online patient.

Allows you to review up to 720 12-lead analysis results for each online patient.

Is capable of storing discharged patients’ full disclosure waveforms, parameters, alarms,
etc.; allows you to search and review the data of up to 20,000 discharged patients.

Provides the patient information management function.

Provides audible and visual alarms.

Provides the functions of drug calculations, titration table calculations, hemodynamics
calculations, oxygenation calculations, ventilation calculations and renal calculations.

Provides the functions to record, print and save data.

Provides comprehensive help information, prompts and operational guide.

Provides 1280×1024 high display resolution.

Provides two waveform display modes: color and mono.

Facilitates the setup of language, waveform and parameter color.

Supports such peripherals as the keyboard, mouse, thermal recorder, laser printer,
speaker, etc.

Supports wired and wireless network.

Provides data output meeting the HL7 protocol. Refer to eGateway HL7 Reference
Manual for details. To obtain this protocol, contact local Mindray service representative
or Mindray Customer Service Department.

Supports receiving the data generated during interruption from networked monitors and
combining the data.

Supports the redundancy backup by two hard disks on the host computer.
NOTE

Do not exchange the USB dongles. The USB dongle is used to configure the
optional system functions which may be different for different central station
systems.
2.5 Components
The central station consists of system software, computer, hardware dongle, network devices
(optional), recorder (optional), printer (optional) and UPS (optional).
DPM Central Station Operator’s Manual
2-3
2
1
4
3
5
Figure 2-1 Central Station
As shown above, a typical central station mainly consists of the following components:
1.
Display
2.
Host computer
3.
Keyboard
4.
USB dongle
5.
Mouse
NOTE
2-4

The central station can be equipped with up to four external displays.

This manual is written based on the maximum configuration. Some contents
may not apply to your system.
DPM Central Station Operator’s Manual
2.6 Networking Mode
The typical networking diagram of a single central station is shown below:
Central Station
Wired Network
Wireless Network
Monitors equipped
without wireless network
adapters
Monitors equipped with
wireless network adapters
Telemetry Network
Telemetry
Transmitters
Figure 2-2 Central Monitoring Network

Wired network
The central station, exchange and monitors interconnect through network cable.

Wireless network
Through a network cable, the central station is connected to an AP (Access Point), which via
wireless RF connects multiple monitors equipped with wireless network adapters.

Telemetry network
Through a network cable, the central station is connected to the telemetry receiver, which via
wireless RF connects multiple telemetry transmitters.
The central station supports the networking between multiple central stations so that the
information on one monitor within one central station can be viewed by other networked
central stations.
DPM Central Station Operator’s Manual
2-5
2.7 Controls
2.7.1 Mouse
Left Mouse
Button
The mouse is the primary means of user interaction with the central station. Following are
two basic ways to operate the mouse:

Click: position the mouse pointer on a selection, and then press and immediately release
the left mouse button;

Drag: position the mouse pointer on a selection, and then hold the left mouse button
down while moving the mouse pointer until your desired place is reached.
NOTE

The term “click” in this manual refers to clicking the left mouse button unless
otherwise specified.
Depending on your action, or the mode of operation, the mouse pointer on the screen of the
central station will be shaped differently:

When the mouse pointer is arrow-shaped, you can click, drag and move
the cursor.

2-6
|
The mouse pointer is shaped like an I-beam when you are in a text
entry field.
DPM Central Station Operator’s Manual
2.7.2 Keyboard
The keyboard can be used to enter characters into text entry fields. To enter characters into a
text entry field, position the mouse pointer inside the text entry field and then click the mouse.
When the mouse pointer changes its shape from an arrow to an I-beam, it indicates that you
can type, select, delete text, or reposition the insertion point.
2.7.3 Controls
Scroll Bars
Up arrow
Left arrow
Scroll box
Scroll box
Right arrow
Down arrow
Horizontal scroll bar
Vertical scroll bar
As shown in the figure above, there are two types of scroll bars: horizontal and vertical. The
scroll bar can be used to position, browse and display your desired information.
Text Box
The text box provides text entry fields, which are used to edit and display text. In a text entry
field, you can use the mouse and keyboard to edit text, for example, input, select, delete, copy
and paste characters.
DPM Central Station Operator’s Manual
2-7
Radio Buttons
Selected
Unselected
Radio buttons can be used to select one of a group of mutually exclusive options:

○
indicates unselected

⊙
indicates selected
Command Buttons
Command buttons can be used to execute designated operations. When a command button
appears dimmed or pressed, it indicates that this command button is currently disabled.
Check Boxes
Partly checked
Unchecked
Checked
Check boxes enable the users to select multiple options.



2-8
Indicates active selection. If there is more than one sub-item, it indicates that all the
sub-items are selected.
Indicates that this item has multiple sub-items but has only part of them selected.
Indicates that this option is not selected. If there is more than one sub-item, it
indicates that none of them is selected.
DPM Central Station Operator’s Manual
List Box
Title
Scroll bar
A list of options
The list box contains a list of options from which the user can select one or more. If there are
too many options to be displayed in the list box, you can use the scroll bar to display the
hidden options.
Drop-down List Box
Down arrow
Drop-down list
The drop-down list box has a down arrow button next to it, which can be used to open or
close a list of options. You can make a selection from the drop-down list.
Tab Sheet
Tab
You can switch among the tab sheets by clicking the tab.
DPM Central Station Operator’s Manual
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FOR YOUR NOTE
2-10
DPM Central Station Operator’s Manual
3 Installation and Maintenance
3.1 Unpacking and Inspection
Before unpacking, examine the packing case carefully for signs of damage. If any damage is
detected, contact the carrier or Mindray.
If the packing case is intact, open the package and remove the equipment and accessories
carefully.
NOTE

Please save the packaging materials for later transport or storage use.
WARNING

When disposing of the packaging material, be sure to observe the applicable
waste control regulations and keep it out of children’s reach.

Components of the central station, such as the keyboard and mouse, may be
contaminated by microorganism during transport, storage and use. Before
removing them from their packaging, the packaging should be inspected for
damage. In case of any damage, contact the carrier or Mindray immediately.
DPM Central Station Operator’s Manual
3-1
3.2 Installation
WARNING

The central station should be installed by manufacturer designated personnel.
The central station software copyright is solely owned by Mindray. No
organization or individual shall resort to altering, copying, or exchanging it or to
any other infringement on it in any form or by any means without due
permission.
NOTE

Never place the central station within a patient environment.

Place the central station in an environment that the system can be easily viewed,
operated and maintained.
3.2.1 Environmental Requirements
Each component of the central station must work under the specified environment.
The environment where the central station is installed should be reasonably free from noises,
vibration, dust, and corrosive, flammable, explosive substances. If the central station is
installed in a cabinet, sufficient space in front and behind should be left for convenient
operation, maintenance and repair. Moreover, to maintain good ventilation, the central
station should be at least 2 inches (5 cm) away from around the cabinet.
When the central station is moved from one place to another, condensation may occur as a
result of temperature or humidity difference. In this case, never start the system before the
condensation disappears.
3-2
DPM Central Station Operator’s Manual
3.2.2 Power Requirements
Each component of the central station must be powered by the specified power source.
To protect the hospital personnel from electric shock, the central station (including the host
and displays) and its recorder must have their casings properly grounded. The host of the
central station is provided with a 3-wire power cable, which must be plugged into a properly
grounded 3-wire receptacle. If a 3-wire, grounded receptacle is not available, consult the
hospital electrician.
WARNING

Make sure that the operating environment and power source of the central
station meet the specific requirements; otherwise, unexpected consequences, e.g.
damage to the equipment, may result.

Appropriate power supply must be selected according to the setup of the system
power voltage; otherwise, serious damage may be caused to the system.

Never use a 3-wire to 2-wire adapter with any unit of the central station.
3.3 Starting the System
To start your system:
1.
Perform safety checks before starting your system. For details, refer to 3.5.1 General
Inspection.
2.
Turn on the UPS and power on the system.
3.
Press the power switches on the host to start the operating system and displays.
4.
The system will perform a series of self-tests and displays corresponding information
on the screen.
5.
If the self-tests pass, the system will beep three times and enter the main screen
immediately.
If there is a self-test failure, the system will beep and display an error message.
CAUTION

To prevent damaging the system from a sudden power failure, it is
recommended that your central station is equipped with an UPS.
DPM Central Station Operator’s Manual
3-3
NOTE

If the computer host beeps during self-tests or startup, consult the manual
provided with the computer for assistance or contact Mindray.
3.4 Shutting Down the System
It is important to properly shut down the system to prevent inadvertent errors from
occurring.
To shut down the system:
1.
Click “System Setup” button.
2.
Select “Shutdown” from “General Setup”.
3.
The system will check if any patients are being monitored:
4.

If no patients are being monitored, go to the next step.

If patients are still being monitored, the message “× patients are being
monitored. Are you sure you want to shut down?” will be displayed. You can
either select “Yes” to begin the next step, or select “No” to close the message box
and stop the shutdown process.
A message box asking whether to shut down the system will be displayed. Select
“Yes” from the message box.

If no password is required while shutting down the central station, the central
station, the operating system and host will automatically shut off.

If a password is required while shutting down the central station, a dialog box will
pop up. You should enter the required password and select “OK”. The central
station, the operating system, and host will automatically shut off.
5.
Turn off the UPS if one is in use.
6.
Disconnect the power cord of each device from the power outlet.
CAUTION

3-4
All central station equipment must utilize the hospital emergency power system.
Failure to do so will result in loss of monitoring during extended periods of
power failure. Hospitals without an emergency power system should use a UPS
to provide power to the central station. The UPS must not be turned off when
the central station is working. When there is a power failure, the system should
be shut down by following the specified shutdown procedure before the UPS is
exhausted. When the system has a sudden power failure, system failure may
occur, and the system may not work properly when it restarts.
DPM Central Station Operator’s Manual
3.5 Maintenance
WARNING

Failure on the part of the responsible hospital or institution employing the use of
the central station to implement a satisfactory maintenance schedule may cause
undue equipment failure and possible health hazard.

The safety checks or servicing involving any disassembly or decomposition of
devices should be performed by professional servicing personnel; otherwise, it
may lead to undue equipment failure and possible health hazards.

Turn off the central station if no patients are to be centrally monitored. If the
system has been running continually for six months, restart the system.

When the central station is restarting, patient data will not be stored. To prevent
any data loss, only restart your system when there are no patient's being
centrally monitored.
3.5.1 General Inspection
Whenever your system is first installed, repaired, upgraded or has been used for 6-12
months, a thorough inspection should be performed by qualified service personnel to ensure
its reliability.
Follow these guidelines:

Inspect the equipment and its accessories for mechanical damage.

Make sure the environment and power supply meet the specific requirements.

Inspect all power cords and signal lines for fraying or other damages, and ensure that
they are properly connected and insulated.

Inspect the sound system functions normally.

Inspect each function of the system is in good condition.
In case of any damage or abnormity, do not use the central station. Contact the hospital
biomedical engineers or Mindray service personnel immediately.
DPM Central Station Operator’s Manual
3-5
3.5.2 General Cleaning
WARNING

Be sure to shut down the system and disconnect all power cords from the outlet
before cleaning the equipment.
Your equipment should be cleaned on a regular basis. If you are in an area that is heavily
polluted or dusty, the equipment should be cleaned more frequently. The equipment to be
cleaned includes the host, displays, printer, recorder, keyboard and mouse. Before cleaning
the equipment, consult your hospital’s regulations for cleaning, disinfecting and sterilizing
equipment.
Cleaning Agents
The exterior surfaces of the equipment may be cleaned with a clean and soft cloth, sponge
or cotton ball, dampened with a non-erosive cleaning solution. Drying off excess cleaning
solution before cleaning the equipment is recommended. The following are examples of
cleaning solutions:
3-6

Hydrogen peroxide (3%)

Ethyl alcohol (70%)

Workstation/server cleaning solutions

Liquid crystal display (LCD) detergent
DPM Central Station Operator’s Manual
Follow these guidelines to avoid damaging the equipment:
CAUTION

Failure to follow these guidelines may melt, distort, or dull the finish of the case,
blur lettering on the labels, or cause equipment failures.

ALWAYS dilute the solutions according to the manufacturer’s suggestions.

ALWAYS wipe off all the cleaning solution with a dry cloth after cleaning.

NEVER SUBMERGE the equipment into water or any cleaning solution, or POUR or
SPRAY water or any cleaning solution on the equipment.

NEVER permit fluids to run into the casing, switches, connectors, or any ventilation
openings in the equipment.

NEVER use abrasive materials and erosive or acetone –based cleaning agents.
WARNING

Disinfection or sterilization may cause damage to the equipment; therefore,
when preparing to disinfect or sterilize the equipment, consult your hospital’s
Infection Control Officer or Epidemiologist.

The indicated cleaning solutions should only be used for general cleaning.
Mindray cannot assume any responsibility if these cleaning agents are used for
infection control.
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3-7
FOR YOUR NOTES
3-8
DPM Central Station Operator’s Manual
4 Display
4.1 Overview
The central monitoring system can support single-screen, dual-screen and multi- screen
display modes.
4.2 Single-Screen Mode
4.2.1 Main Screen
In single-screen mode, up to 16 monitors can be viewed simultaneously. Figure 4-1 below
shows the main screen in the single-screen mode.
A
1
2
3
4
B
5
6
7
8
C
Figure 4-1 Main Screen in Single Screen Mode
A.
System information area
B.
Patient window area
Tile 1-7 are spot patient windows, and Tile 8 is non-spot patient window.
C.
System button and icon area
DPM Central Station Operator’s Manual
4-1
NOTE

In single-screen mode, a maximum of 16 monitors can be viewed simultaneously.
If there are more than 16 but less than 32 monitors connected to the central
station, we recommend you to use dual- or multi- screen mode.
System Information Area
In this area, the following information is displayed:
1
Hospital information:
2
System alarm icon area:
Displays the hospital and area where the central station is
located.
Displays the
icon if in system silence mode or the
icon if in system alarm audio off mode.
3
System alarm area:
Displays the system prompts or alarms. If more than one
message occurs, they will scroll. Please refer to Appendix B for
all the system alarms.
4
Current time:
Displays the current time.
Patient Window Area
For details, refer to 6.2 Patient Window.
System Button and Icon Area
System buttons include:
1
Silence:
Click to silence the central station. For details. Refer to 8.9 Central
Station System Silence.
2
Admit Patient:
Click to enter the “Connected patient list” window.
3
System Setup:
Click to enter the “System Setup” window.
4
Discharged Pat.:
Click to enter the “Discharged Patients” window.
5
Remote CMS:
Click to enter the “Remote CMS” window.
6
Main Screen:
Click to close the auxiliary screen and return to the main screen. This
button is only available in the single-screen mode and dual-screen
mode.
7
ViewBed
Click to enter the auxiliary screen. This button is only available in
multi-screen mode.
4-2
DPM Central Station Operator’s Manual
System icons include:
No.
Icon Name
Icon
Description
1
Alarm List
Shows the alarms of all monitored patients within the specified
time range.
2
USB state
Indicates that the system connects the USB storage device.
This icon will not appear when the USB dongle is connected.
Indicates that the printer can be used.
3
Printer state
Indicates a printer error.
Indicates that no printer is connected.
Indicates that the recorder can be used.
Indicates that the recorder is undergoing a self-test.
4
Recorder state
Indicates a recorder error.
Indicates that no recorder is connected.
5
Networking
prompt
Flashing: indicates new monitors logged on to the central
station.
Not flashing: indicates no new monitor logged on to the central
station.
Indicates that the network is connected.
6
Network
status
Indicates that the network is disconnected.
Indicates that the storage system is in a normal state and the
data is protected from a disk failure.
7
Storage
system status
Indicates that the storage system is in a warning state and data
may be at risk.
Indicates that the storage system is in an error state and data
may be lost.
Indicates that the storage system is in a busy state while an
operation is in progress.
DPM Central Station Operator’s Manual
4-3
No.
Icon Name
Icon
Description
1
Alarm List
Shows the alarms of all monitored patients within the specified
time range.
2
USB state
Indicates that the system connects the USB storage device.
This icon will not appear when the USB dongle is connected.
8
Main screen
Click this icon to return to the main screen. This icon is
available in multi-screen mode.
4.2.2 Auxiliary Screen
Auxiliary
Screen
Figure 4-2 Auxiliary Screen in Single-Screen Mode
In single-screen mode, you can enter the auxiliary screen by clicking a patient window. As
shown in Figure 4-2, the auxiliary screen will occupy the lower part of the screen. The
system will automatically adjust the size and number of patient windows in this mode.
NOTE

4-4
For more information about the tab sheet, refer to 2.7.3 Controls – Tab Sheet.
DPM Central Station Operator’s Manual
4.3 Dual-Screen Mode
This central station supports a dual-screen mode, which indicates that two displays are
connected to one host. The dual-screen mode can be configured with two main screens or one
main screen.

Two Main Screens Mode
As shown in Figure 4-3, both displays default to the main screen if the number of main
screens is configured to two. The system buttons and icons are located on the right display’s
screen.
Click a patient window, and the right display will change to show the auxiliary screen for this
patient. To go back to the main screen, click the “Main Screen” button at the bottom of
auxiliary screen.
In two main screens mode, a maximum of 32 monitors can be viewed at one time.
××××
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Figure 4-3 Two Main Screens (Default)

One Main Screen Mode
As shown in Figure 4-4, if the number of main screens is configured to one (1), the left
display always shows the main screen and right display always shows the auxiliary screen. In
this mode, up to 16 monitors can be viewed at one time.
×××
××
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98
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Figure 4-4 One Main Screen
DPM Central Station Operator’s Manual
4-5
As to the configuration for the above two modes, please refer to 12.2.2 Display SetupNumber of Main Screen / Display Layout for details.
4.4 Multi-Screen Mode
This central station supports a multi-screen mode, which indicates that three or four displays
are connected to one host. In multi-screen mode, a maximum of 16 monitors can be viewed at
one time on each display.
Figure 4-5 shows the multi-screen mode. All the displays default to the main screen. The
system buttons and icons are located at the bottom of the screen to furthest to the right or on
the screen that contains the system buttons and icons.
××××
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Figure 4-5 Multi-Screen (Default)
Click a patient window, and then the screen that contains the system buttons and icons
changes to show the auxiliary screen of this patient. To go back to the main screen, select the
icon in the system button and icon area.
××××
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Figure 4-6 Multi-Screen Mode
4-6
DPM Central Station Operator’s Manual
4.5 Screen Layout
The setting for the main screen layout directly configures each patient window’s size, and the
total number and layout of patient windows. Please refer to 12.2.2 Display Setup for details.
WARNING

If the monitors connected to the central station are more than the patient
windows that can be displayed on the screen, some monitors will be displayed in
the non-spot patient window in which only alarm status can be displayed. To
view the waveforms and parameters of a non-spot patient, you can switch it to
spot patient window. Refer to 6.2 Patient Window for additional information
regarding spot and non-spot patient windows.
DPM Central Station Operator’s Manual
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FOR YOUR NOTES
4-8
DPM Central Station Operator’s Manual
5 Patient Management
The central station enables you to manage patients by:

Admitting patients

Obtaining patient information

Patient information synchronization

Modifying patient information

Discharging patients

Switching patient windows

Changing to idle sector

Transferring patients
5.1 Admitting Patients
A patient can be monitored on the central station only after the patient monitor is first
admitted by the central station and then the patient is admitted. Refer to 12.2.5 Monitor List
on how the monitor is admitted to the central station.
Once the patient is admitted, the central station can display the patient’s physiological
parameters, waveforms and alarm messages and store the corresponding patient data. You can
admit a patient either at a bedside monitor or at the central station. After a patient is admitted,
the patient window is bound with a monitor and patient data from this monitor will be
displayed in the same patient window. For details on patient window, refer to 6.2 Patient
Window.
If the admitted patient’s number exceeds the maximum number of patients allowed to a
central station, the message “The maximum number of beds connected is reached” will be
displayed. At this time, the central station cannot admit one more patient. If you really want
to admit a patient, perform the “Discharge Patient” operation first. For details, refer to 5.5
Discharging a Patient.
NOTE

A defibrillator cannot be bound with a patient window. Patient information
from this defibrillator will be displayed in an idle patient window, if one is
available, one will be selected by the central station according to the sequence of
top to bottom and left to right when it admits a patient next time.
DPM Central Station Operator’s Manual
5-1
5.1.1 Admitting Patient through Central Station
When a monitor which has not admitted a patient is connected to the network, you can admit
a patient by one of the following methods:

Click a patient window which shows “No patient admitted or patient transferred” or
“Idle sector. Click to admit a patient”. Then select “Admit Patient” in the pop-up menu.
This is applied to admit patient to a spot patient window. For detail, refer to 6.2 Patient
Window, or

Click the
in the icon area or the “Admit Patient” button in the button area and
admit the patient in the open window.
When the
icon or the “Admit Patient” button is selected, a window is opened. In this
window, the “Connected Patient List” is displayed at the left side of the window and “Patient
Info” at the right side. The “Connected Patient List” includes the information of all the
monitors using “CMS+ network protocol” and all the telemetry transmitters connected to the
LAN. This information includes details about monitoring status, monitor name, department,
bed number, patient name, and patient ID.
NOTE
5-2

If the bedside monitor is in Standby mode and no patient is admitted, the
monitor automatically exits the Standby mode when a patient is admitted by the
central station.

If a bedside monitor is bound with a patient window and no patient is admitted,
when the monitor exits the Standby mode, a patient is automatically admitted to
the monitor, which is controlled by the central station.
DPM Central Station Operator’s Manual
The monitoring status and corresponding details are shown in the following table.
Monitoring Status
Details
No Patient Admitted
The monitor is in this CMS monitor list.
The monitor is in CMS XX monitor list.
The monitor is not in any CMS monitor list.
Monitored by this CMS The monitor has admitted a patient and is being monitored by this CMS.
Monitored by CMS XX The monitor has admitted a patient and is being monitored by CMS XX.
The monitor has admitted a patient but is not in this CMS monitor list.
The monitor has admitted a patient but is not in CMS XX monitor list.
The monitor is in this CMS monitor list and has admitted a patient but the
ECG algorithm of the transmitter does not match that of the CMS.
The monitor is in this CMS monitor list and has admitted a patient but the
CMS has reached its maximum number of beds.
The monitor is in this CMS monitor list and has admitted a patient but
failed to connect to the network.
The monitor is in this CMS monitor list and has admitted a patient but the
Cannot be monitored by patient was monitored by other CMS.
CMS
The monitor is in this CMS monitor list and has admitted a patient but
another patient with the same bed No. in this CMS is being monitored.
The monitor is in CMS XX monitor list and has admitted a patient but the
ECG algorithm of the transmitter does not match that of the CMS.
The monitor is in CMS XX monitor list and has admitted a patient but the
CMS has reached its maximum number of beds.
The monitor is in CMS XX monitor list and has admitted a patient but
failed to connect to the network.
The monitor is in CMS XX monitor list and has admitted a patient but
another patient with the same bed No. in CMS XX is being monitored.
For the monitor with the monitoring status of “No Patient Admitted” and the details of “The
monitor is in this CMS monitor list”, the Patient Info area is enabled and you can click the
“Admit Patient” button to admit a patient.
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5-3
NOTE

If you directly click on the “Admit Patient” button before inputting patient
information, the patient information will be blank. In this case, you can modify
the patient information by referring to 5.4 Modifying Patient Information.

When there is no monitor online, an alarm message “No New Bed Online” will
be shown.

When a patient is admitted, his bed number cannot be identical to that of any
other bed under monitoring. Otherwise, the patient can not be admitted.

On the LAN, the patient on the bedside monitor can be admitted to any central
station, but can only be admitted to one central station.
5.1.2 Admitting Patient through the Monitor
When a patient is admitted to a monitor, it will simultaneously be admitted to the central
station if the monitor is on the network.
5.1.3 Auto Waveform Storage
By default, the central station will store five waveforms with the descending priority of ECG
1, ECG 2, ECG 7, Pleth and Plethb each time a patient is admitted.
If waveforms in channel ECG 1, ECG 2, ECG 7, Pleth and Plethb are unavailable, waveforms
will not be automatically saved. To change the waveforms to be saved, refer to 9.1.3
Waveform Review for detail.
NOTE

If you change ECG lead type through the bedside monitor after the waveforms
have been automatically saved on the central station, the waveforms stored in
channel ECG 1, ECG 2 and ECG 7 may also change.

When a patient is discharged, the waveform storage configurations are saved
and the same waveform configuration is used the next time a patient is admitted.
If you discharge a patient and set the bed as an idle sector, the waveform storage
settings are cleared, and the waveform configurations are restored to the system
defaults.

5-4
DPM Central Station Operator’s Manual
5.2 Obtaining Patient Information
Patient information from a Hospital Information System (HIS) system can be obtained
through the eGateway and will display on the current central station.
There are two ways to obtain patient information:

Admit/Discharge/Transfer (ADT) Query:
a. Click the “Obtain Patient Information” button and the “ADT System Patient
Information” menu is displayed.
b. Input a query condition for Patient ID, last name, first name or unit, and then click the
“Query” button. The queried patient information is displayed.
c. Select a patient from the patient information list. Click the “Import the Patient to CMS”
button. The corresponding patient information in the central station will be updated.
d. Click the “Exit” button to exit the “ADT System Patient Information” menu.
NOTE

The "Obtain Patient Information" button is only available in the patient
management screen when the “ADT Query" function is enabled in the
“Gateway Communication Setting” menu. For “ADT Query” settings, refer to
12.2.8 Other-Gateway Communication Setting.

The query information about lifetime ID is available when the “Lifetime ID” is
enabled in “Factory Setup”.

Patient Information Quick Query:
Enter patient keywords in the “Patient Mgmt.” tab sheet, and click the “Modify” button. The
patient keywords may be patient name, ID, etc., which are defined on the eGateway. The
central station will automatically search for the patient. If the patient is found, the patient
information will automatically be updated to the central station.
NOTE

For the definition of patient keywords, refer to eGateway Integration Manager
Installation Guide (P/N 046-002447-00) if configured with eGateway.
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5-5
5.3 Patient Information Synchronization
When the central station is associated with a HIS system, the central station will
automatically and instantly synchronize and update the patient information with the HIS
system.
5.4 Modifying Patient Information
There are two ways to modify patient information:

Modify patient information through the monitor. For more information, refer to the
monitor’s operator’s manual.

Modify patient information through the central station.
When the network is properly connected, either party (the monitor or the central station) will
inform the other party (the central station or the monitor) to make modifications accordingly,
so that the patient information is kept consistent between the monitor and the central station.
For telemetry patient monitoring, the patient information can only be modified from the
central station.
To modify patient information:
1.
Open the “Patient Mgmt.” tab sheet.
To open the “Patient Mgmt.” tab sheet, you can click the spot patient window or the
block in non-spot patient window, and then select the “Patient Mgmt.” tab.
5-6
2.
In this tab sheet, you can modify patient information, such as name, gender and height
etc.
3.
After modification, select “Save” to preserve the changes. The central station will
inform the monitor to make modifications accordingly:

If two patients with the same bed No. are in one central station, a message box will
display indicating a bed conflict. Select “OK” to return to the “Patient Mgmt.”
screen.

If patient category has been changed, a message box will be displayed. Select “OK”
to save the changes or “Cancel” to delete the changes.

If “Nurse Call” and/or “Event” in the telemetry system are set to “Off”, a message
box will be displayed. Select “OK” to preserve the changes or “Cancel” to delete
the changes.
DPM Central Station Operator’s Manual
NOTE

If you have changed patient category through the central station, patient
category on the monitor will be changed accordingly.
5.4.1 Inconsistent Patient Information between Monitor and
Central Station
If patient information is modified when the monitor is disconnected from the central station,
and then the monitor is re-connected to the central station, inconsistent patient information
may occur between the central station and monitor. If this happens, a low priority technical
alarm appears in the technical alarm area, and a prompt message simultaneously appears in
the “Patient Mgmt.” tab sheet. In this case, you need to confirm whether to use the patient
information in the central station or monitor.
5.5 Discharging a Patient
Discharging a patient stops monitoring a patient and allows you to admit a new patient. There
are two ways to discharge a patient:

Discharge a patient through the monitor. In this case, the patient will also be discharged
by the central station and all the patient’s data will be saved by the central station.

Discharge a patient through the central station. In this case, the patient will also be
discharged by the monitor.
For telemetry patient monitoring, discharging a patient can only be performed through the
central station.
If you discharge a patient through the monitor, refer to the monitor’s operator’s manual. If
you discharge a patient through the central station, you can follow either of the two
procedures:

Procedure 1 (applied to spot patients):
1.
Click the drop-down menu in corresponding patient window and select “Discharge
Patient”.
2.
In the pop-up dialog box, select either “Discharge patient and save data” or select
“Discharge Without Saving Data”. If “Discharge patient and save data” is selected, the
system will automatically save all monitored data for this patient. If “Discharge Without
Saving Data” is selected, the system will delete all data about this patient after being
discharged.
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5-7
3.
Optional- Some monitor models have a Standby option also. The message “The monitor
enters the Standby mode after the patient is discharged.” will be displayed if your
monitor has this option. Select or deselect this option:

If this option is selected, the monitor will directly enter Standby mode after a
patient is discharged. The option is selected by default.

If this option is not selected, the monitor will automatically admit a new patient
after the previous patient is discharged.
4.
Click the “OK” button.

Procedure 2 (applied to both spot patients and non-spot patients):
1.
Click the patient window for a spot patient or the block in the last patient window for a
non-spot patient.
2.
Select the “Patient Mgmt.” tab sheet.
3.
Click the “Discharge” button in the “Patient Mgmt.” tab sheet.
4.
Perform Steps 2 through 4 of Procedure 1.
CAUTION

When the message “The patient data storage space is nearly full. Please delete
some discharged patients.” appears in the system information area, please follow
the instruction. Otherwise, the system will automatically delete the data of the
earliest patient's in the database when the discharged patient storage space is
full.
NOTE

When a patient is discharged, the waveform storage configurations are saved
and used again the next time a patient is admitted.

If you discharge a patient and set the bed as an idle sector, the waveform storage
settings are cleared, and the waveform configurations restore to the system
defaults. Refer to 6.2.2 Spot Patient Windows for the definition of idle sector.
5.6 Switching Patient Windows
To exchange patient windows on the central station, click the drop-down menu in the patient
window and select “Move Zone to”, then select desired bed number.
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DPM Central Station Operator’s Manual
5.7 Changing to Idle Sector
In a patient window with no patient admitted, click the drop-down menu and select “Change
to idle sector”, then confirm the action in the pop-up window. The patient window will be
released as an idle sector. An idle sector indicates that the patient window is not bound with a
specific monitor. Once a sector is idle, it is available for a new patient admission where it will
be assigned to a monitor.
NOTE

Whether the “No Patient Admitted or patient transferred” patient window can
be set to an idle sector is dependent on the setting in “Display Setup” in the
“Admin Setup” menu. Refer to 12.2.2 Multibed Display.

When you select the option “Change to Idle Sector”, the settings for this patient
window restore to the defaults.
5.8 Transferring a Patient
During monitoring, a patient may be transferred from one bed (source bed) to another
(destination bed). Transferring a patient ensures that the patient will continue to be monitored.
Once transferred, the patient will be monitored at the new destination bed.
5.8.1 Transferring a Patient on Central Station
The central station provides a patient transfer function.
NOTE

If the patient in the destination bed has not been discharged, selecting
“Discharge Destination Bed Patient with Data Saved” and then transferring a
patient will automatically discharge the patient. In this case, make sure the
patient in the destination bed is ready to be discharged before you transfer a
patient to it.
Transfer Procedure
1.
Enter the “Patient Mgmt.” tab sheet.
2.
Click the “Transfer” button. The system will open the “Transfer” dialog box.
3.
Select the desired “Destination CMS” and “Destination Bed”.
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5-9
4.
Select “Combine with Destination Bed Patient Data” or “Discharge Destination Bed
Patient with Data Saved”. These two options will be unavailable if a patient has not been
admitted to the destination bed.

Combine with Destination Bed Patient Data.
The system will transfer the patient data at the source bed to the destination bed and
combine it with the data at destination bed.

Discharge Destination Bed Patient with Data Saved.
The system will discharge the destination bed patient, saving its data before transferring
the source bed patient data to the destination bed.
5.
Click on the “Continue” button.
6.
Select “OK” in the pop-up dialog to transfer the patient to the destination bed. When
transferring patients between different central stations, you need to accept the source
central station’s transfer request at the destination central station.
NOTE

Selecting “Combining with Destination Bed Patient Data” to transfer a patient
may cause patient data loss if the system time at the source and destination central
station are unsynchronized.

Ensure that the same patient is monitored by both the source and destination beds
when using the "Combining with Destination Bed Patient Data" option is selected.
Otherwise, select the "Discharge Destination Bed Patient with Data Saved"
option.

When a patient is transferred from one bed to another, the central station will
interrupt bedside monitoring temporarily.

When a patient is transferred within one central station, all the monitored data
will be transferred along; if the patient transfer is among different central
stations, the full-disclosure waveforms and trend data from the last 72 hours, and
other historic data are transferred along.

If there is version difference between two central stations, patient transfer may not
be enabled.

Patients connected to a defibrillator or an Accutorr 7 bedside monitor cannot be
transferred.
5.8.2 Transferring a Patient on Monitor
When a patient is transferred between bedside monitors by a transport device, the bedside
monitors will inform the central station of the transfer. The central station will automatically
operate as follows:
5-10

Transfer the patient to the destination bed;

Combine the patient data at source bed with the data at destination bed.
DPM Central Station Operator’s Manual
6 Multibed Screen
6.1 Overview
The multibed screen of the central station displays as follows:
Spot
Patient
Window
Non-spot
Patient
Window
Figure 6-1 Multibed Screen
Each screen of the central station can display up to 16 patient windows. If the number of
bedside monitors connected to the central station is no more than the maximum number of
patient windows, all the patient windows can be used for spot observation; if not, the last
patient window will be used for non-spot observation.
The patient windows used for spot observation will be hereinafter referred to as the spot
patient windows, and their bed numbers and patients respectively as the spot bed numbers
and spot patients. Likewise, the patient windows used for non-spot observation will be
hereinafter referred to as the non-spot windows, and their bed numbers and patients
respectively as the non-spot bed numbers and non-spot patients.
In single-screen mode, you can view 16 patients on the spot at one time; in dual- or multi–
screen mode, you can view 32 patients on the spot at one time. The number of the patient
windows to be displayed depends on the display mode defined for the multibed screen. Refer
to 12.2.2 Display Setup- Multibed View Window Layout for additional information.
DPM Central Station Operator’s Manual
6-1
6.2 Patient Window
6.2.1 Non-Spot Patient Window
The non-spot patient window shows information including bed number, patient status and
monitor status. For the monitors displayed in this window, different background colors
represent different statuses.
1
2
5
3
4
6
7
8
The following table shows the available status messages and what they indicate.
Item Non-spot patient monitor status
Indication
1
Monitor is connected and no alarm is
present.
Background is black.
2
Monitor is connected and a low- or
medium-priority alarm(s) is present.
Background is flashing yellow.
3
Monitor is connected and a high-priority Background is flashing red.
alarm is present.
4
Disconnection alarm occurs.
5
Disconnected
is displayed. Background is black.
6
Standby
is displayed. Background is black.
7
Nurse call occurred.
is displayed. Background is flashing red.
8
Event occurred.
is displayed. Background is flashing red.
is displayed. Background is flashing
yellow.
CAUTION

6-2
Since a non-spot patient window presents neither waveform nor parameter to
the clinician, it should not be used for monitoring patients.
DPM Central Station Operator’s Manual
NOTE

The user can adjust the display layout at any time to convert a non-spot patient
window to a spot patient window where they will be able to view the patient's
real-time data.
6.2.2 Spot Patient Windows
In the process of monitoring, the spot patient window may stay in one of the following
statuses:

“No Patient Admitted or patient transferred” indicates that no patient is admitted to the
monitor or patient was transferred to another monitor.

“Offline” indicates that this patient window has a patient admitted but its corresponding
monitor may be turned off or disconnected from the central station.

The patient window is in monitoring status: Indicates that the patient window has an
assigned monitor, an admitted patient, and is communicating with the central station.

“Standby” indicates that the monitor or telemetry transmitter has entered the Standby
mode.

“Idle sector. Click to admit a patient.” indicates that the patient window is available for
patient admission and bonding with a monitor.
DPM Central Station Operator’s Manual
6-3
6.2.3 Patient Window in Monitoring Status
When a patient window is in the monitoring status, it displays real-time patient data
transmitted from the monitor, including a maximum of 4 waveforms and 5 parameters as
shown in the figure below. In an individual patient window, the number of waveforms and the
layout of parameters are subject to the display format set for the multibed screen as shown in
Figure 6-2.
1
2
3
4
6
5
1. Bed mark & drop-down menu button
2. Alarm icon area
3. Technical alarm area
4. Physiological alarm area
5. Waveform area
6. Parameter area
Figure 6-2 Patient Window in Monitoring Status
When a telemetry system is connected, relevant telemetry icons will appear on this screen.
6.2.3.1 Bed Mark
You can modify bed number and bed mark color on the patient management screen to help
identify the specific bed. For details, refer to 5.4 Modifying Patient Information.
6-4
DPM Central Station Operator’s Manual
6.2.3.2 Drop-down Menu Button
Clicking this button will open a drop-down menu, in which you can perform these operations:

Monitor Silence: In the normal status, you can select it to silence current bedside
monitor. In the case that the bedside monitor is silenced, you can select it to reactivate
the bedside monitor’s audible prompts.

Alarm Reset: You can select it to acknowledge the ongoing monitor alarms and the
corresponding patient window on the central station. Please refer to 8.6 Resetting
Alarms.

Alarm Pause: In the normal status mode, you can select it to pause all alarms for the
current patient for a configurable time period. The default alarm pause time at the
patient monitor is 2 minutes. During the alarm pause, you can select it to reactivate the
paused alarms.

Standby:

If a telemetry transmitter is connected and is in the normal status mode, you can
select “Standby” to stop displaying, analyzing, storing or recording the current
patient’s physiological waveforms and data, and to disable all alarms and sounds.
The Battery icon
and Signal icon
remaining on the screen,

If a telemetry transmitter is in Standby mode, you can select “Standby” to resume
the normal status mode.

If a bedside monitor is connected, selecting “Standby” removes the bedside
monitor from the Standby mode.

Freeze: In the normal status mode, you can select Freeze to stop the dynamic waveforms
with freeze time and time scales displayed in the waveform area. In the frozen status,
clicking Freeze will restore the dynamic waveforms.

Print: You can select it to start real-time printing.

Record: You can select it to start real-time recording.

ViewBed: You can select it to enter the “ViewBed” tab sheet.

Discharge Patient: You can select it to open the “Discharge” dialogue box.

Patient Mgmt.: You can select it to enter the “Patient Mgmt.” Tab sheet.

Display Setup: You can select it to enter the “Display Setup” tab sheet.

Alarm Setup: You can select it to enter the “Alarm Setup” tab sheet.

Big Numerics: In Big Numerics screen, major parameters are displayed in big numerics
for better viewing. In this case, you can switch to normal screen by selecting “Normal
Screen” from the drop-down menu.

Privacy Mode: Open the “Multibed” menu, select and set current bed or all beds to
Privacy Mode.
DPM Central Station Operator’s Manual
6-5

Night Mode: Open the “Multibed” menu, select and set current bed or all beds to Night
Mode, and choose whether to stop NIBP measuring.

ST Select: Access the “ST Select” menu of the telemetry system, and select the desired
ST to be displayed in the patient window.

Start/Stop NIBP Measurement: Used to start or stop an NIBP measurement.

Move zone to: Select to move the current patient window to another patient window.
NOTE

One type of monitor can support only one of the following functions: Monitor
Silence or Alarm Reset (Please refer to the corresponding operation manual for
more information). Therefore, these features’ corresponding controls and buttons
do not exist at the same time.

Any of the operations of Monitor Silence and Alarm Reset will set the
corresponding patient windows on the central station to silence status.
6.2.3.3 Alarm Icon Area
The alarm icon area displays:

No icon: Indicates that the monitor system sound is normal.

: Indicates that the monitor alarm is paused.

: Indicates that the monitor alarm is turned off.

: Indicates that the monitor system sound is silenced.

: Indicates that the monitor alarm sound is switched off.

: Indicates that the monitor alarm system is reset.

Indicates that a defibrillator is currently connected to the bed.

Indicates the received signal strength of each telemetry device channel. This
symbol is only available for telemetry devices. For additional information, refer to
6.2.3.8 Telemetry Icons.
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DPM Central Station Operator’s Manual
NOTE

When an alarm icon appears, the defibrillator icon will not be displayed.
6.2.3.4 Technical Alarm Area
The technical alarm area displays:

The technical alarms and messages coming from monitor or central station.

The work mode and initiated events of a defibrillator.
When multiple messages occur, they will scroll.
6.2.3.5 Physiological Alarm Area
The physiological alarm area displays:

Physiological alarms coming from monitor;

A message indicating the alarm or physiological state. For example, “Alarm Pause”,
“CPB Mode”.

For telemetry, the battery icon
and transmitter number.
When there are multiple messages, they will scroll. When alarms are latched, alarm time is
displayed; otherwise, the alarm time is not displayed.
NOTE

Different alarm priorities are indicated by different background colors in the
alarm area. Refer to Part 8.2 Alarm Mode for details.

You can view all physiological or technical alarms by positioning the mouse
pointer inside the physiological or technical alarm area and pressing the left
mouse button.

For unknown technical alarms, the message is “XX Technical Alarm”, XX
representing high, medium or low.

For unknown physiological alarms, the message is “XX Phys. Alarm”, XX
representing high, medium or low.
DPM Central Station Operator’s Manual
6-7
6.2.3.6 Waveform Area

Displays waveforms transmitted from the monitor.

Displays the patient’s name above the first waveform.

When one or all lethal arrhythmia alarms are set to off, a message of “Lethals Off” will
be displayed under the first ECG waveform.

When the nurse call and/or event function of the telemetry system is switched off, a
message will display the status under the first ECG waveform.

If a patient’s paced status has not been set on the monitor, the
waveform area when a pacer pulse is detected. Click the
icon will flash in the
icon, the “Patient Mgmt.”
sheet will pop up. The “Paced” configuration can be configured here.

For telemetry, displays the Nurse Call icon
and the Event icon
.
6.2.3.7 Parameter Area
This area is to display parameter values transmitted from the monitor.
icon beside the parameter indicates that parameter alarms are turned off.
The
6.2.3.8 Telemetry Icons
The following icons are visible only for telemetry transmitters.
Icon name
Icon
Description

After the Nurse Call button is pressed on the transmitter,
the Nurse Call icon will continuously flash and a
corresponding prompt tone will sound. The prompt tone
will automatically terminate after two beeps.

If you click this icon, it will be cleared and the prompt
tone will stop.

An auto recording will be triggered if the Nurse call’s
record switch is set to “ON” in “Alarm Setup” menu.

The nurse call will be stored in “Event Review”. Please
refer to 9.1.5 Event Review for viewing, recording and
printing in “Event Review”.
Nurse Call
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DPM Central Station Operator’s Manual
Icon name
Icon
Event
Description

After the Event button is pressed on the transmitter, the
Event icon will continuously flash and a beep will sound.

If you click this icon, it will be cleared.

An auto recording will be triggered if the Event’s record
switch is set to “ON” in “Alarm Setup” menu.

The event will be stored in “Event Review”. Please refer
to 9.1.5 Event Review for viewing, recording and printing
in “Event Review”.
This icon indicates the remaining battery charge available in the
transmitter. While the battery charge is depleting, the color of the
icon will change accordingly:
Battery

White: indicates the battery is in normal condition.

Yellow: indicates the battery is low.

Red: indicates the battery is nearly depleted
This icon indicates the received signal strength for a corresponding
channel. With the received signal strength changing, the number of
the signal bars and the color of the icon will change accordingly.
Signal
Transmitter
Number
TEL
XXXX

White: indicates the received signal strength is normal.

Yellow: indicates the received signal strength is weak.

Red: indicates no signal is received.
Shows the transmitter number corresponding to this channel.
6.3 Display Setup
Clicking “Display Setup” in the patient window drop-down menu will enter a tab sheet,
where you can configure the “Multibed Waveform Setup” and “Multibed Numeric Setup” for
the current patient window.
6.3.1 Multibed Waveform Setup
On the left of the “Display Setup” tab sheet, you can designate which waveforms are to be
displayed in the current patient window.

By selecting the checkbox before the waveform name, you can select or deselect this
waveform. Only the selected waveforms can be displayed in the current patient window.

By selecting the waveform speed beside the waveform name, you can have a list of
available wave speeds (i.e. 6.25 mm/s, 12.5 mm/s, 25 mm/s and 50 mm/s), from which
you can select either.
DPM Central Station Operator’s Manual
6-9

Select a waveform by clicking on its name and change its order by clicking “Move
First”, “Move Up”, “Move Down” or “Move Last”. Waveform displaying order can be
saved.

When monitoring ECG with the monitor, the monitored lead is optional. If you are
monitoring with a 3-lead set, you can select any one lead to be displayed in one channel.
If you are monitoring with a 5-lead set, you can select any two or three leads to be
displayed. If you are monitoring with a 12-lead set, you can select up to eight leads to be
displayed. For details, refer to the bedside monitor's operator's manual.

When monitoring ECG with the telemetry transmitter, the monitored lead is fixed. With
a 3-lead set, you can only monitor lead II in one channel. With a 5-lead set, you can only
monitor the leads II, V and I in three channels. For details, refer to the bedside monitor's
operator's manual.
NOTE

When a patient is discharged, the multibed settings in “Waveform Selection and
Order” are saved. The waveforms will be displayed using the same default
configurations when a new patient is admitted.

If you discharge a patient and set the bed to an idle sector, the multibed settings
in “Waveform Selection and Order” are cleared, and the waveform
configurations restore to the system defaults.
6.3.2 Multibed Numeric Setup
The default numeric group cannot be modified or deleted. To change the displayed
parameters and their order in the current patient window, you will need to add a new group.
To add a new group:
1.
Click on the “New Group” button, and “New Group 1” will appear under “Default
Group”.
2.
Select the “New Group 1” to open the “Select & Order” list.
3.
Select a parameter from the “Select & Order” list. The “Numeric Preview” area will
show the parameter you have just selected. A maximum of 5 parameters are allowed to
be selected.
4. Select a parameter by clicking on its name and change its order by clicking “Move First”,
“Move Up”, “Move Down” or “Move Last”.
5.
Click the “Save Group” button and then select the “New Group 1”. The current patient
will show parameters according to the setup of “New Group 1”.
To delete the “New Group 1”, you can select the “New Group 1” and then click the “Delete
Group” button.
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DPM Central Station Operator’s Manual
NOTE

When a patient is discharged, the numeric group selection is saved. The numeric
group will be displayed using the same default configurations when a new
patient is admitted.

If you discharge a patient and set the bed to an idle sector, the selection of the
numeric group is cleared, and the numeric group configurations restore to the
system defaults.
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FOR YOUR NOTES
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DPM Central Station Operator’s Manual
7 ViewBed
7.1 Overview
The central station allows you to view a single patient through the “ViewBed” screen, in
which you will have an enlarged view of that single patient’s information, waveforms and
values. In this screen, you can freeze waveforms, review dynamic short trends, view
multi-lead ECG waveforms and record waveforms, etc.
To access the “ViewBed” screen, follow the instructions below:

For a spot patient, click the left mouse button in its corresponding patient window. The
“ViewBed” screen for that patient will open.

For a non-spot patient, click on its corresponding block in the non-spot patient window.
The “ViewBed” screen for that patient will open.
When the “ViewBed” window is open, you can switch among different patients by clicking in
the patient window of a spot patient, or clicking on the block of a non-spot patient, or
selecting another bed number in the bed drop-down list of single bed window.
NOTE

In the single-screen mode, the central station uses the lower half screen to
accommodate the “ViewBed” screen.

In the dual- or multi- screen mode, the central station uses the secondary display
screen to accommodate the “ViewBed” screen.
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7-1
7.2 ViewBed Screen
1
2
3
××××
×
××××
4
5
××××
××××××××××
××
××
7
6
1. Patient information area
2. Alarm icon area
3. Technical alarm area
4. Physiological alarm area
5. Icon area
6. Waveform area
7. Parameter area
Figure 7-1 ViewBed Screen (Bedside Monitor)
1
2
××××
×
3
××××
4
5
6
××××
××××
×××××××××
××
80
××
120/80
8
7
1. Patient information area
2. Alarm icon
3. Telemetry icon area
4. Technical alarm area
5. Physiological alarm area
6. Icon area
7. Waveform area
8. Parameter area
Figure 7-2 ViewBed Screen (Telemetry)
7-2
DPM Central Station Operator’s Manual
In the patient information area, patient bed number, name, gender and type are displayed. For
description on physiological alarm area, alarm icon area, technical alarm area and telemetry
icons, refer to 6.2.3 Patient Window in Monitoring Status.
7.2.1 Icon Area
Icon
Name
Description
Alarm Reset
Used to acknowledge the on-going alarms.
Monitor Silence
Used to silence current bedside monitor or reactivate the
audible prompts of the silenced bedside monitor.
Alarm Pause
Used to enter or exit alarm paused status. The pause time is
subject to the monitor settings.
STANDBY
Used to enter or exit the STANDBY mode. This option is
available only in the telemetry mode.
NIBP measurement
Used to start NIBP measurement.
NIBP measurement
Used to stop NIBP measurement.
Freeze
Used to freeze and unfreeze waveforms.
Alarm Limits
Used to show/hide alarm high/low limits.
Dynamic Trends
Used to show/hide dynamic short trend.
Parameter Order
Used to open the “Parameter Order” dialog box where you can
set the display order of modules.
Record
Used to open the “Record” dialog box.
Record
Used to stop recording.
Print
Used to open the “Print Setup” dialog box.
Multi-lead ECG
Used to show/hide multi-lead ECG.
NIBP Table
Used to show/hide NIBP groups.
Alarm Setup
Used to enter the “Alarm Setup” tab sheet.
BIS Expand View
Used to show/hide BIS Expand View.
Device Integration
Expand View
Used to show/hide Device Integration Expand View.
For details about each button, refer to 7.4 Basic Operations.
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7.2.2 Waveform Area
This area is to display parameter waveforms transmitted from the bedside monitor. In the
single-screen mode, this area can only accommodate partial parameter waveforms due to
space confines of the screen. However, you can drag the vertical scroll bar to view more.
7.2.3 Parameter Area
This area is to display parameter values transmitted from the bedside monitor. Each
parameter module occupies a rectangular area, which is hereafter called parameter window.
In the single-screen mode, this area can only accommodate partial parameter values due to
space confines of the screen. However, you can drag the vertical scroll bar to view more.
Click in a parameter window. The border of the window will highlight when the window is
selected. Clicking on it again will enter the “Parameter Setup” tab sheet. For details, refer to
7.3 Parameter Setup.
NOTE

The waveforms and parameters are consistent between the central station and
the monitor.

If you change the display order of waveforms and parameters on the monitor,
the display order of waveforms and parameters on the central station will not
change automatically and vice versa.

In case a monitor module is turned off or a parameter is no longer being
monitored, the corresponding waveforms and parameters displayed at the
central station will no longer display.
7.3 Parameter Setup
Click in a parameter window, and the border of this window will appear highlighted. Clicking
again will open the “Parameter Setup” window. The current tab sheet depends on the
parameter window you have selected. For example, if you click in the ECG parameter
window, the Parameter Setup window will open, with the “ECG” tab sheet at the front.
In this tab sheet, you can set alarm switch, alarm limit, record switch and sweep speed for all
parameters For details on alarms, refer to 8.4 Alarm Setup.
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7.4 Basic Operations
7.4.1 Alarm Setup
Clicking the alarm setup icon
will enter the “Alarm Setup” tab sheet, where you can set
parameter alarms, arrhythmia alarms, arrhythmia alarm threshold and alarm-related settings.
For details, refer to 8.4 Alarm Setup.
7.4.2 Resetting Alarms on Monitors
By clicking the Alarm Reset icon
, you can acknowledge the on-going alarms of the
bedside monitor. The on-going alarms are also reset on the corresponding patient window on
the central station. Please refer to 8.6 Resetting Alarms.
7.4.3 Silencing a Bedside Monitor
By clicking the Monitor Silence icon
, you can silence the current bedside monitor. The
corresponding patient window on the central station will enter the alarm silenced status. You
can reactivate the audible prompts of the silenced bedside monitor by clicking the Monitor
Silence icon
again.
7.4.4 Pausing Alarms on Monitors
By clicking the Alarm Pause icon
, you can pause all current patient alarms for a period
of time, which is subject to the bedside monitor settings. The alarm pause time for the
telemetry transmitter is fixed to two (2) minutes. After the alarm pause time ends, the system
will automatically release the alarm pause. You can also release the alarm pause by clicking
the Alarm Pause icon again.
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7-5
7.4.5 Standby
The Standby icon
is applicable to the telemetry transmitter only. Clicking this icon will
have the current patient enter the Standby mode. In the Standby mode, you can click this icon
again or click any place in the ViewBed tab sheet to exit the Standby mode. For details about
the Standby mode, refer to the telemetry monitoring system manual.
7.4.6 Controlling a Bedside Monitor to Exit Standby
If a bedside monitor is in Standby mode, click any place in the ViewBed window. Then a
dialog box of prompt information will pop up. Select “Yes” in the dialog box and the monitor
will exit the Standby mode and resume normal monitoring.
NOTE

The central station can control the bedside monitor by exiting Standby mode
only when the monitor supports this function.
7.4.7 NIBP Measurement
Once the
icon is clicked, the corresponding bedside monitor will start an NIBP
measurement. During the measuring process, this icon changes to
. At this time, you can
click this icon to stop the measurement. This icon changes accordingly when the bedside
monitor starts or stops an NIBP measurement.
WARNING

7-6
Before starting an NIBP measurement by a bedside monitor at the central
station side, be sure that patient type set on the bedside monitor is correct and
NIBP cuff applied is proper.
DPM Central Station Operator’s Manual
7.4.8 Freeze/Unfreeze Waveforms
By clicking the
icon, you can freeze all dynamic waveforms in the waveform area.
In this area, freeze time is displayed at the top of the waveform area and time scale (unit: s)
below the first waveform. Clicking
or
will move the waveforms backward or
forward one unit (s), and the time scale will change accordingly. You can view more frozen
waveforms by dragging the vertical scroll bar shown in Figure 7-1.
In the frozen status, clicking the
icon will restore the dynamic waveforms.
7.4.9 Show/Hide Alarm Limits
Clicking the
icon will show or hide alarm high/low limits set for all physiological
parameters. As shown in Figure 7-3, the alarm high/low limits are located to the right of the
parameters value, with the alarm high limit above the alarm low limit.
2
1
3
2
1
3
1
Measured parameter values
2
High alarm limits
3
Low alarm limits
Figure 7-3 Alarm High/Low Limits
7.4.10 Show/Hide Dynamic Trends
Clicking the
icon will show or hide dynamic short trends for each physiological
parameter. For details on dynamic short trend, refer to 9.1.1 Dynamic Short Trend.
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7-7
7.4.11 Parameter Order
Clicking the
icon will open a dialog box, where you can configure the waveform and
parameter display order.
The available parameters depend on the monitor's configuration. Select a parameter and then
click “Move Up”, “Move Down”, “Move First” or “Move Last” to adjust its position. Its
waveforms and digital values will change their positions accordingly. Clicking the “Default”
button will restore the default display order of parameters. The display order settings can be
saved.
NOTE

When a patient is discharged, the parameter order configuration is saved. The
parameters will be displayed using the same default configurations when a new
patient is admitted.

If you discharge a patient and set the bed to an idle sector, the parameter order
configuration is cleared, and the waveform configuration restores to the system
defaults.
7.4.12 Record
Clicking the
icon will open the “Record” dialog box, where you can select up to two
waveforms. If the recorder is unusable or no recorder is connected, this icon is disabled.
In the frozen status, the recorded waveforms and parameters are the waveforms and
parameters recorded at time of freezing but not at current time. Please refer to 11.1.3
Recording Control about the settings of recording general options.
7.4.13 Print
Printing in Real-time
Click the
icon, and the “Print Setup” dialog box will pop up. In this dialog box, you can
select the waveforms to be printed. If the printer is unusable or no printer is connected, this
button will be disabled. Please refer to 11.2.4 Printing Control about the general printing
options settings.
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Printing 12-Lead ECG
When performing 12-lead ECG monitoring and 12-lead ECG analysis using a bedside
monitor, you can press the
icon to display the 12-lead ECG waveforms. Then click the
icon, the “Print Setup” dialog box will pop up. In this dialog box, you can set the
waveform layout as 12×1, 6×2+1 or 3×4+1. If the printer is unusable or no printer is
connected, this icon will be disabled.
Printing Multi-Lead ECG
When a patient is being monitored at the bedside using 5-lead ECG, select the
icon to
display the multi-lead ECG waveforms. Then click the
icon, to print the ECG
waveforms. If the printer is unusable or no printer is connected, this icon will be disabled.
7.4.14 Show/Hide Multi-Lead ECG
Click the
icon to show or hide multi-lead ECG waveform. The Multi-lead ECG screen is
shown in Figure 7-4:
Figure 7-4 Multi-lead ECG
If there is no ECG waveform, the monitor is set to 3-lead, or your central station does not
support multi-lead ECG, the multi-lead ECG waveforms will not be displayed.
Click the
icon to turn on or turn off 12-lead ECG waveform display when the bedside
monitor enters full-screen 12-lead screen, as shown in Figure 7-5 below.
DPM Central Station Operator’s Manual
7-9
Figure 7-5 12-lead ECG (Standard)
7.4.15 Show/Hide NIBP Table
Clicking the
icon will show or hide the NIBP table in the waveform area. Each
measurement includes Measure Time, NIBP values and PR.
7.4.16 Show/Hide BIS Expand View
You can click the
icon to show or hide BIS Expand View. In “BIS Expand View”, you
can select to view EEG waveforms, BIS trend and DSA graph. This button is enabled only
when networked monitor supports BISx4 monitoring; otherwise, this button is disabled.
7.4.17 Show/Hide Device Integration Expand View
Clicking the
icon will show or hide Device Integration Expand View. This button is
enabled only when networked monitor supports device integration; otherwise, this button is
disabled. All text in Device Integration Expand View appears in white.
You can select to view an individual device or all devices in the Device Integration Expand
View:

7-10
Click one of the individual device tabs and access its corresponding tab sheet. Each tab
sheet provides “Parameter Display” button. You can use the button to select the desired
parameters for display if necessary.
DPM Central Station Operator’s Manual

Click the “Multi Devices” tab to access the tab sheet. In this sheet, you can view the
parameters from all devices at the same time.
NOTE

There is no “Multi Devices” tab in Device Integration Expand View when only
one device is integrated with the monitor.

The Device Integration Expand View can include a maximum of 4 individual tab
sheets.
7.4.18 Display ST Segments
Display Real-time ST Segments
In the ECG parameter setup menu, select “Display ST Segments”. In the ViewBed window,
the ECG waveform display area will display ST segments.

Displays ST segments of one lead when using a 3-lead type;

Displays ST segments of three leads when using 5-lead and 12-lead types.
Figure 7-6 Display ST Segments of Three Leads
As shown in Figure 7-6 above, real-time ST segments and reference segments are overlapped.
Real-time ST segments and current ST values are displayed in the ECG parameter color.
Reference segments and ST reference values are displayed in white. The ST segment displays
the positions of the ISO point, J point and ST point. These three analysis points can be set in
the central station if necessary, or set on the bedside monitor. For details, refer to the
operator’s manual for the monitor.
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7-11
Display ST-segments on the Multi-lead ECG Screen
If multi-lead ECG screen is accessed, corresponding ST segments are displayed after the lead
waveforms on the multi-lead or 12-lead screen, as shown in Figure 7-7 below:
Figure 7-7 Display ST Segments on 12-lead ECG Screen
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8 Alarm Control
8.1 Alarm Structure
Alarms, triggered by a vital sign that appears abnormal or by a monitor’s technical problems,
are sent to the central station by the monitors and then indicated to the users by the central
station. Most of the alarms originally come from the monitors. The alarms coming from the
central station itself are displayed in the patient window’s technical alarm area or system
alarm area on the upper screen. Please refer to Appendix B Central Station Alarms for the
alarm messages.
By nature, the alarms are classified into two categories:

Physiological alarms, and

Technical alarms
By severity, the alarms are classified into:

High priority alarms,

Medium priority alarms, and

Low priority alarms
NOTE

For details on alarms, refer to the monitor’s operator’s manual.
8.2 Alarm Mode
The central station gives audible and visual alarms in compliance with international
standards.
WARNING

The audible and visual alarms given by the central station comply with the IEC
60601-1-8 standard. The hospital or institution employing the use of the central
station should give adequate training to the operators.
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8-1
8.2.1 Audible Alarms
This system has three choices of alarm tones and patterns: ISO, Mode 1 and Mode 2. For
each pattern, the alarm tones identify the alarm levels as follows:



ISO pattern:

High priority alarms:
triple+double+triple+double beep

Medium priority alarms:
triple beep

Low priority alarms:
single beep
Mode 1:

High priority alarms:
high-pitched triple beep

Medium priority alarms:
double beep

Low priority alarms:
low-pitched single beep
Mode 2:

High priority alarms:
high-pitched triple beep

Medium priority alarms:
double beep

Low priority alarms:
low-pitched single beep
NOTE

When multiple patients have alarms of different priorities at the same time, the
system will select the alarms of highest priorities and give alarm tones
accordingly.

When the system is set to “Silence”, sounding alarm tones is disabled. In case of
a new alarm, the silenced state will be released automatically. You can also
release the silenced state manually. For details, refer to 8.9 Central Station
System Silence.

In the “General Setup” screen of “System Setup”, when the alarm volume is set
to 0, the central station alarm sound is turned off, and the central station will
switch off the alarm tone permanently and give no audible alarm even if a new
alarm occurs. Be careful when configuring the alarm volume to 0.
8.2.2 Reminder Tone
When the central station is silenced or audio alarms are off, the central station can provide a
reminder tone in case of an active alarm condition. The reminder tone is the same as the
highest alarm tone. You can set the reminder volume in the “General Setup” tab sheet. You
can set the reminder interval and switch on/off the reminder tone in the “Admin Setup”
menu.
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DPM Central Station Operator’s Manual
8.2.3 Alarm Messages
The central station alerts the users by giving alarm messages in the physiological or technical
alarm area. Before the alarm messages, asterisks are used to indicate different alarm
priorities:

High priority alarms:
triple asterisks “***”

Medium priority alarms:
double asterisks “**”

Low priority alarms:
single asterisk “*”
When alarms are latched, alarm time is displayed; otherwise, the alarm time is not displayed.
The high priority alarm messages are in white font and medium/low priority alarm messages
are in black font. Besides alarm messages, the technical alarm area also displays prompt
messages coming from monitors. Those prompts are in a white font.
8.2.4 Color Changes
If a spot patient has an alarm, its corresponding patient window will give an alarm message,
with different background colors indicating different alarm priorities:

High priority alarms:
red

Medium priority alarms:
yellow

Low priority alarms:
yellow
If a non-spot patient has an alarm, its corresponding block will appear in red indicating a
high-priority alarm or yellow indicating a medium-or low-level alarm.
Additionally, the spot patient window displays the parameters in alarm with different
background colors and flashing frequencies indicating different alarm priorities:

High priority alarms:
red, quickly flash

Medium priority alarms:
yellow, slowly flash

Low priority alarms:
yellow, no flash
8.2.5 Parameter Flashes
In the ViewBed screen, if a patient’s physiological parameter generates an alarm, this
parameter will flash in the parameter area. If the alarm high/low limits of the parameter are
displayed in the ViewBed screen, either the alarm high or low limit will also flash indicating
that the parameter exceeds the alarm high or low limit.
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8-3
8.3 Alarm Volume
By clicking “System Setup” button then “General Setup” tab, you can enter the “General
Setup” tab sheet. The central station provides up to 11 volume levels, increasing from 0 to 10.
You can drag the volume control key to your desired volume. While dragging the volume
control key, the corresponding sound will also be played.
The alarm volume can be configured in the range from Minimum Alarm Volume to 10. Please
refer to 12.2.3 Alarm - Set Minimum Alarm Volume.
In the “General Setup” tab, you can set high alarm volume. High alarm volume can be set
equal to or louder than the alarm volume. The options are “alarm volume +0”, “alarm
volume+1”and “alarm volume+2”. When a high level alarm occurs, the alarm will sound with
the specified high alarm volume. For example, if the high alarm volume is set to “alarm
volume+1”, and the current level of alarm volume is 5, then the high alarm volume is 6.
NOTE

If the alarm volume is set to 0, the system information area displays the alarm
audio off icon

.
If high alarm volume level is greater than 10, the monitor will sound it in the
volume of 10.
8.4 Alarm Setup
In either the “Parameter Setup” or “Alarm Setup” tab sheet, you can define alarm switch,
alarm high/low limits and alarm priority for each parameter.
8.4.1 Parameter Setup Tab Sheet
Click in a parameter window. The border of the window will appear highlighted when the
window is selected. Clicking again will enter a tab sheet.
Take the ECG module as an example; you can set the HR alarm switch, limit and priority.
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DPM Central Station Operator’s Manual
NOTE

When you select the checkbox before “Alarm Setup” in “Remote Control
Settings” menu, the parameter alarm switch settings, limit and level are
controlled bidirectionally. For example, if the parameter alarm switch is set to
“Off”, the parameter alarm switch will change to “Off” on the monitor. Refer to
12.2.8 Other for the details of remote alarm setup.

When you change the alarm limits of the monitor via the central station, make
sure that the alarm limits settings are appropriate for your patient. Setting
alarm limits to extreme values may cause the alarm system to become
ineffective.

Default: Click this button to restore central station-related settings to factory default.

Alarm Setup: Click this button to enter the Alarm Setup tab sheet. Refer to section 8.4.2
Alarm Setup Tab Sheet Alarm Setup Tab Sheet for details.
For telemetry transmitter, the parameter setup tab sheet is different. For details, refer to the
manual of telemetry monitoring system.
8.4.2 Alarm Setup Tab Sheet
Clicking the
icon in the “ViewBed” screen will enter the “Alarm Setup” tab sheet,
where you can set parameter alarms, arrhythmia alarms, arrhythmia alarm threshold and other
alarm settings.
8.4.2.1 Setting Parameter Alarm
In the “Parameter Alarm Settings” tab sheet, you can set the alarm properties of ECG, HR,
SpO2 and other parameters. Take the HR as an example; you can use the keyboard to modify
its alarm high/low limits by clicking “HIGH LIMIT” or “LOW LIMIT”, as well as use the
mouse to make a selection by clicking “Alarm Priority”, “Activation State”, “Record On
Alarm” or “Print On Alarm”.
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8-5
8.4.2.2 Setting Arrhythmia Alarms
In the “Arrhythmia Alarms” tab sheet, the alarm for asystole, tachycardia and other kinds of
arrhythmia can be set here.

Alarm priority: The alarm level can be set to “High”, “Med”, “Low” or “Message”.
Specifically, the “Message” level only has text, without the indication by audio,
background color and ‘*’.

Activation state: The activation state of each arrhythmia can be set individually. In
addition, the activation state of some arrhythmias can be set as a whole with the buttons
of “All Alarm On”, “All Alarm Off” and “Lethals Only”.

If the “Lethals Only” button is selected, only the lethal arrhythmia alarms are set to
“ON” and other alarms are set to “OFF”.

If the “All Alarm On” button is selected, all arrhythmia alarms are set to “ON”.

If the “All Alarm Off” button is selected, all arrhythmia alarms are set to “OFF”.

Record On Alarm: Switch on/off the real-time arrhythmia alarm recording.

Print On Alarm: Switch on/off the real-time arrhythmia alarm printing.
NOTE

If a bedside monitor is connected and the “Lethal Arrh. Off” item in its “Admin
Setup” menu is set to “Disable”, the “All Alarm Off” button in the arrhythmia
alarm settings of the central station is inactive.

If a telemetry monitoring system is connected and the “Lethal Arr. Off” item in
the “Telemetry” sheet under “Admin Setup” menu is set to “Disable”, the “All
Alarm Off” button in the “Arrhythmia Alarm” of the central station is inactive.
8.4.2.3 Setting Arrhythmia Threshold
The threshold for PVCs high limit, tachycardia and others can be set in the “Arrh. Threshold
Setup” sheet.
8.4.2.4 Others
In the “Others” tab sheet, the alarm latch can be set here. Please refer to 8.8 Latching Alarms
for details.
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8.5 Pausing Alarms
For the monitors supporting bidirectional control of alarm pause, you can click the Alarm
Pause icon
in the ViewBed screen or “Alarm Pause” in the drop-down menu in the
multibed screen to pause all alarms of current monitor for a period of time, which can be set
on the monitor. After alarm pause time ends, the system will automatically release the alarm
pause. You can also release the alarm pause by clicking the
icon or “Alarm Pause” in the
drop-down menu again.
You can enable or disable the remote alarm control function on the central station. When
remote alarm control is disabled, the
icon is inactive and the “Alarm Pause” control is
not available in the drop-down menu in the multibed screen. Refer to Section 12.2.8 Other to
see how to enable or disable the remote alarm control function.
8.6 Resetting Alarms
For the monitors supporting bidirectional control of alarm reset, you can reset the alarms
through following ways:

In the central station ViewBed screen, click the Alarm Reset icon

In the Multibed screen, you can right click when the cursor is in the window where the
patient needs the setting of Alarm Reset, or select the option “Alarm Reset” in its
drop-down menu.
.
When the alarm is reset, the alarm message in the corresponding central station patient
window has the following behaviors:

For physiological alarms, except NIBP related alarms, a √ appears before the alarm
message;

For some technical alarms, a √ appears before the alarm message after the alarm is
reset;

For some technical alarms, the alarm message changes to a prompt message after the
alarm is reset;

For some other technical alarms, the alarm message is cleared after the alarm is reset.
As for the monitor’s alarm behaviors after resetting alarm, please refer to the monitor’s
operator’s manual.
DPM Central Station Operator’s Manual
8-7
You can enable or disable the remote alarm control function on the central station. When
remote alarm control is disabled, the
icon is inactive and the “Alarm Reset” control is
not available in the drop-down menu in the Multibed screen. Refer to 12.2.8 Other to see
how to enable or disable the remote alarm control function.
8.7 Silencing the Monitors
For the monitors supporting bidirectional control of monitor silence, you can control the
monitors to enter the silence status through the following ways:

In the ViewBed screen, click the monitor silence icon

In the Multibed screen, you can click the right mouse button when the cursor is in the
window where the patient needs the Monitor Silence setting, or select the option
“Monitor Silence” in its drop-down menu.
.
When Monitor Silence is selected, all the monitors, including the alarm sounds, will be
silenced. If a new alarm occurs, the monitor will exit the silenced status automatically. All the
sounds, including the alarm sounds, will restore their statuses when the Monitor Silence is
unselected. You can also release the monitor silence status by clicking the
icon or the
Monitor Silence option again.
You can enable or disable the remote alarm control function on the central station. When
remote alarm control is disabled, the
icon is inactive and the “Monitor Silence” control
is not available in the drop-down menu in the Multibed screen. Refer to 12.2.8 Other –
Remote Control Setting to see how to enable or disable the remote alarm control function.
8.8 Latching Alarms
If an alarm is latched, the alarm message and the start time continue to display in the alarm
area when the alarm condition ends.
Enter the “Alarm Setup” window, select “Others” tab sheet and then set the “Alarm Latch”
by the options of “Off”, “High”, “Hi & Med” and “All”: Alarm latch function supports
bidirectional control.
8-8

If “Off” is selected, no alarm will be latched.

If “High” is selected, the alarms in the high level will be latched.

If “Hi & Med” is selected, the alarms in the high and medium levels will be latched.

If “All” is selected, all the alarms will be latched.
DPM Central Station Operator’s Manual
You can enable or disable the alarm latch function on the central station. When alarm latch is
disabled, the “Alarm Latch” control in the “Alarm Setup” tab sheet is inactive. Refer to
12.2.8.8 Remote Control Settings for details.
8.9 Central Station System Silence
Central station system silence only silences the central station system sounds. Alarms from
the monitors will not be affected. The central stations’ system sounds include alarm sound,
nurse call, event, etc.
To silence or reactivate central station system sounds, click “System Setup”; then click
“Admin Setup” then enter required password. In the “Admin Setup” tab sheet, select “Alarm”
and select the “Silence Hotkey” as desired.
Clicking the “Silence” button on the main screen, or pressing the Silence hot key if the
“Silence Hotkey” check box is selected will enter the central station system silenced status.
When the system sounds are silenced, the
icon will appear on the main screen.
In the system silenced status, the central station gives no audible alarm, but other alarm
indications, such as alarm message, continue to be displayed. If a new alarm occurs, the
system silenced status will be automatically released.
In the system silenced status, clicking the “Resume” button on the main screen, or pressing
the Silence hot key again, if the “Silence Hotkey” check box is selected, will exit the central
station system silenced status.
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8-9
8.10 Central station Alarm Audio Off
Central station Alarm Audio Off only switches off the audible alarms from the central station.
Alarm audio from the monitors will not be affected.
In “General Setup”, when the alarm volume is set to 0, the central station audio is turned off.
Refer to 8.3 Alarm Volume.
When audible alarms are switched off, the
icon will appear on the main screen. In this
case, the central station gives no audible alarm, but other alarm indications and audible
signals continue to be displayed.
NOTE

Be careful to configure the alarm volume to 0. If alarm volume is set to 0, the
alarm audio is turned off, and the central station will switch off the alarm tone
and give no audible alarm even if a new alarm occurs.
The central station can be in either system silenced or alarm audio off status at same time.
NOTE

The
icon will appear on the main screen if the central station is in the
system silenced status.

The
icon will appear on the main screen if the central station is in the
alarm audio off status.
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9 Review
9.1 Online Review
Online review is used to review the dynamic short trends, C.O. measurements, waveforms,
trends, events, 12 lead analysis and ST segment of a patient that is currently monitored by the
central station.
9.1.1 Dynamic Short Trend
Clicking the
icon in the ViewBed screen will show graphic short trends for the
parameter. The colors and order are subject to their respective parameter modules.
××××
××××
××
××××
××××
100
××
××
××
0
××
98
××
200
××
××
80
××
60
120/80
0
100
××
0
-4h
-2h
0
Figure 9-1 Dynamic Short Trend
The dynamic short trends will automatically update every minute, and the total display time
is 4 hours. Below the bottommost short trend window is a time scale, with scales in -4, -2,
and 0 hour and each vertical line representing an interval of 1 hour.
Click in a parameter’s dynamic short trend window, and the parameter’s graph will be
selected. Clicking again will enter the dynamic short trend setup window. The default
selected parameter is the currently displayed parameter. You can select other parameter in the
window to view the corresponding dynamic short trend graph.
Additionally, you can view more parameters’ short trends by dragging the vertical scroll bar.
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9-1
9.1.2 Trend Review
9.1.2.1 Overview
Clicking the “Trend Review” tab will enter a tab sheet, through which you can store and
review up to 240 hours of trend data.
Trend changes can be observed in a graphic or tabular format. You can switch between the
tabular and graphic format by simply clicking their buttons.
In the tabular format, the parameters from the integrated devices are indicated with “+” mark
before the parameter name. In the graphic format, in addition to the “+” mark before the
parameter name, the relevant parameter information of the integrated devices is shown in
white.
9.1.2.2 Operation
In this tab sheet, you can:

Set resolution or zoom

View parameter values at a certain time

Select trend group

Refresh data

Print

Save as
For details about print and save as, refer to 11 Record, Print and Save as.
Setting Resolution or Zoom
In the tabular trends, you can set a time interval as the resolution to display the tabular trends.
When the resolution is set to “NIBP” or “TEMP”, up to 240 hours of measured values and
other parameter values, which NIBP or TEMP measurement time corresponds to, can be
displayed. When the resolution is set to “Manually Saved”, all the manually input data (such
as glucose) can be displayed.
In the graphic trends, you can set the desired resolution for reviewing graphic trends.
Resolution options include 15 min, 30 min, 1 hour, 2 hours, 4 hours, 8 hours, 12 hour, 24
hours and 48 hours.
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Viewing Parameter Values at a Certain Time
By clicking a point in the graphic trends, you can place the cursor at that position and view
the corresponding parameter values of the cursor time. In the tabular trends, the cursor time is
the same as it is in graphic trends. Contrarily, if you select a row in the tabular, the cursor in
the graphic trends will be positioned at the time corresponding to that row.
You can further position the time at which the cursor is located by clicking these buttons:
Buttons
Graphic
Clicking this button will move to the previous graphic page.
Clicking this button will move the graph to left by a time range of one resolution.
Clicking this button will move the graph to right by a time range of one resolution.
Clicking this button will move to the next graphic page.
Buttons
Tabular
Clicking this button will move to the next tabular page.
Clicking this button will move the cursor down one line.
Clicking this button will move the cursor up one line.
Clicking this button will move to the previous tabular page.
Selecting Trend Group
Click the “Trend Group” drop-down list to select the desired trend group to review. For
details about setting trend groups, refer to 12.2.4 Trend Group.
NOTE

Selecting different trend group views in the “Trend Review” screen shows
different trend parameters.
Refreshing Data
Trend data will not update automatically. Therefore, if you want to view current trend data,
you have to manually refresh the screen. Clicking the “Refresh” button will open a dialog
box, through which you can input a start time and then select “OK” to reload data. After
refreshing, the select status and order of parameters remain unchanged.
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9-3
9.1.3 Waveform Review
The central station stores 240 hours of waveform data for each patient.
9.1.3.1 Overview
In the Waveform Review window, you can review compressed or full size waveforms as
required.
9.1.3.2 Compressed Waveform Review
Compressed Waveform Review Screen
Click the “Waveform Review” tab to open the following window, through which, you can
review the patient’s latest 240 hours of waveform data. In the single screen mode, up to 10
lines of compressed waveforms are displayed. In the dual- or multi- screen mode, up to 32
lines of compressed waveforms are displayed.
××
××
××
××××
1
1.Time scale
2
4.Cursor time area
4
5
3
2.Compressed waveform area
6
3.Uncompressed waveform area
5.Cursor
6.Time bar
Figure 9-2 Compressed waveform review

Time Scale
Displays the time to which the waveform group in the compressed waveform area
corresponds.

Compressed Waveform Area
Displays compressed waveforms. If some waveform signals are not detected within a specific
time period, square waves are displayed.
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
Uncompressed Waveform Area
Displays the full size of the corresponding compressed waveform where the cursor is located,
or displays the patient’s parameter information.

Cursor Time Area
Displays the time where the cursor is located.

Cursor
By moving the cursor, you can select 12 seconds of compressed waveforms. The waveform
data contains 6 seconds before the cursor time and 6 seconds after the cursor time.

Time Bar
Same functions with that in the full size waveform review. Refer to 9.1.3.3 Normal
Waveform Review-Normal Waveform Review Window.
Compressed Waveform Operation
In the compressed waveform review window, you can:

Select waveforms to be saved

Select waveforms

Mark arrhythmia

View arrhythmia statistic

Refresh

Show/hide parameter

Zoom

ICP waveform scale

Print

Save as
For details about Print and Save as, refer to chapter 11 Record, Print and Save as.
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9-5

Selecting waveforms to be saved
Click the “Wave Save” button to select the desired waveforms to be saved for each patient:
1.
Select a patient from “Patient Info” list.
2.
Select the waveforms to be saved for this patient from the “Waveform” list.
3.
Repeat Step 1 and Step 2 to select waveforms to be saved for other patients.
4.
Select “OK” and the system will save all the selected waveforms.
The central station can save up to 240 hours of waveform data for each patient. If you did not
select waveforms for a patient, no waveforms and parameter values can be reviewed from the
“Waveform Review” window.
For details about automatic waveform storage, refer to 5.1.3 Auto Waveform Storage.

Selecting waveforms
Click the “Wave Select” button to display the menu of waveforms. Select the checkbox
beside the desired wave (at most four waves) and the compressed waveform area will display
the selected waves.
To change the order of the waveform, click the waveform name, then select “Move First”,
“Move Up”, “Move Down” or “Move Last”.
Click the “Save as Default” button to save the current configuration as the user’s default
configuration; click “Load Configuration” to load the user’s default configuration for the
current patient.
NOTE


The new admitted patient is loaded with the default waveforms.
Marking arrhythmia
The arrhythmia alarm waveforms can be marked with color in the compressed waveform area.
From the “ARR Mark” drop-down list, you can select the types of arrhythmia to be marked.
The marked waveforms start from the point 16 seconds before the arrhythmia alarm, and end
when the alarm condition disappears.
To set desired color for each type of arrhythmia, refer to 12.2.1 Setting Color.
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NOTE


If multiple arrhythmia alarms occur at the same time, only the high priority
alarm(s) will be marked; if the arrhythmia alarms are of the same level, the
alarm of highest priority will be marked.
Viewing arrhythmia statistic
Click the “ARR Statistic” button to view the statistics about the HR value and the number of
each arrhythmia type during a certain time range. You can set the time range as 24 hours, 12
hours, or 8 hours.
For details about Print, refer to chapter 11 Record, Print and Save as.


Showing/hiding parameter

Click the “Numeric Data” button to display the patient’s parameter information in
uncompressed waveform area.

Click the “Hide Numerics” button to display the full size of the cursor-located
compressed wave in uncompressed waveform area.
Zoom
Set the time span of each line in the compressed waveform window. The options are 15s, 30s,
45s, 1min and 2min. The longer the time span of each line gets, the more lines of compressed
waveform display on the screen. In single-screen mode, up to 10 lines of waveforms can be
displayed; in dual- or multi- screen mode, up to 32 lines of waveforms can be displayed.

ICP wavefrom scale
When ICP is displayed in the compressed waveform area, you can right click the mouse to
adjust ICP waveform amplitude. Each time you click the right key, the scale is adjusted in the
preset order. There are four levels of the scale: 0-15 mmHg, 0-20 mmHg, 0-30 mmHg and
0-40 mmHg. After the change, the scale level displays above the ICP waveform.
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9-7
9.1.3.3 Full Size Waveform Review
Full Size Waveform Review Screen
Click the “Waveform Review” tab. Click the “Full Size” button to open the following
window, through which, you can review the patient’s latest 240 hours of waveform data.
7
5
××
××
2
××
××××
××××
×× 60 ××
×× 98 ××
××××
×× 60 ××
4
×× 37.7 ××
3
×× 37.2 ××
1
××
××××
8
6
1. Time bar
2. Waveform area
3. Parameter area
4. Waveform time display area
5. Current cursor
6. Caliper
7. Caliper measurement area
8. Button area
Figure 9-3 Waveform Review Tab Sheet

Time Bar
The time bar adopts different colors to identify the alarm status of different time periods:

White: indicates that there are no waveforms and values.

Green: indicates that there are waveforms and all monitored parameters are within
range and no alarms are occurring.

Yellow: indicates that some parameters have low- or medium-level alarms but there
are still waveforms.

Red: indicates that some parameters have high-level alarms but there are still
waveforms.
Within the time bar, there is a black line indicating the time to which the current cursor
corresponds. While moving the cursor along the time bar, the time corresponding to the
cursor location will appear above the time bar. By clicking the mouse, you can confirm the
time to which the current cursor corresponds. In addition, you can further adjust the black
line by using these buttons and the waveform will also move accordingly.

9-8
: Clicking it will move the black line to the leftmost, i.e. the review start time.
DPM Central Station Operator’s Manual

: Clicking it will move the black line left, so that the waveforms in the
waveform area move left at the length of one screen.

: Clicking it will move the black line left in short increments.

: Clicking it will move the black line right in short increments.

: Clicking it will move the black line right, so that the waveforms in the
waveform area move right at the length of one screen.


: Clicking it will move the black line to the rightmost, i.e. the review end time.
Waveform Area
This area is to display the waveform strips over a specific period. Click in the waveform area,
and the grey triangles on the top of and at the bottom of the waveform area will appear
indicating the current time corresponding to the cursor location.
Caliper Measurement
Left click the mouse at a place in the waveform area and then hold it down while dragging
the cursor until your desired location is reached. During dragging, a caliper with two arms
and a middle measurement line, marking the real time measurement, will appear on the
waveforms. During dragging, if you move the mouse horizontally, the right arm will be
moved accordingly; if you move the mouse vertically, the measurement line will be moved
accordingly.
5
4
××
1
2
3
1. Left arm
2. Measurement line
4. Current cursor
5.Real-time measurement
3. Right arm
When a caliper is formed, you can adjust the caliper by the following operations to measure
the time difference between any two points:

When the cursor is positioned at caliper arm, and the cursor turns to
can horizontally move the arm.

When the cursor is positioned at measurement line, and the cursor turns to
, you
,
you can vertically move the measurement line.
DPM Central Station Operator’s Manual
9-9

When the cursor is positioned between the two arms, and the cursor turns to
,
you can move the whole caliper.
In waveform area, right click mouse, and select “PR”, “QRS”, “RR” or “QT” in the pop-up
menu. The corresponding measurement will be shown above the first ECG waveform. In the
caliper measurement area, the above-mentioned value can be acquired also. Refer to 9.1.3.3
Full Size Waveform Review - Full Size Waveform Review Screen for additional information
of caliper measurement area.
NOTE

The current caliper measurements can be manually saved as an event.

The waveform review does not include caliper measurements.
ECG Waveform Gain
You can set the ECG waveform gain in the waveform area by either:

When the cursor is positioned at any ECG waveform, the buttons
will display at the left end of the waveform. Click
gain, and click

and
button can increase the
button can decrease the gain.
Right click mouse, and select “Zoom in ECG Gain” or “Zoom out ECG Gain” in
the pop-up menu.
Sweep Speed
You can set the sweep speed by either:


In the waveform area, right click, and select “Zoom in Sweep Speed” and “Zoom
out Sweep Speed” to adjust the speed.

In button area, click “Sweep Speed” to set the waveform sweep speed. Refer to
9.1.3.3 Full Size Waveform Review-Full Size Waveform Operation for additional
information on selecting sweep speed.
Caliper Measurement Area
The caliper measurement area is hidden by default. If the check box before “Caliper” is
selected at the right bottom corner of the screen, this area will be shown; otherwise it will be
hidden.
There are five measurement buttons and one “Clear” button. When the caliper is operated in
the waveform area, click “PR”, “QRS”, “RR”,”QT” buttons in the caliper measurement area
and the corresponding measurement will display. The QTC value is calculated after RR and
QT value have been acquired. You can clear all the values by clicking the “Clear” button.
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
Parameter Area
By default, the parameter area is hidden. Clicking the “Numeric Data” button will show the
parameter area. If the parameter area is displayed, clicking the “Hide Numerics” button will
hide the parameter area.
Parameter area shows all current parameter values.


For parameters having high-level alarms, they are highlighted in red and “***” is
shown in front of the parameter values.

For parameters having medium level alarms, they are highlighted in yellow and
“**” is shown in front of the parameter values.

For parameters having low level alarms, they are highlighted in yellow and “*” is
shown in front of the parameter values.

For parameters having message, they are shown with black as the background color,
but no indication by “*” before parameter values.

For the parameters from integrated devices, they are shown in white and indicated
with “+” before the parameter name.
Waveform Time Display Area
In this area, waveform start time and end time are respectively shown at leftmost and
rightmost; the current cursor time is shown in the middle. By clicking the “Refresh” button,
you can update the end time to current system time and the start time changes accordingly.

Button Area
Refer to 9.1.3.3 Full Size Waveform Review - Full Size Waveform Operation for additional
information about button function.
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9-11
Full Size Waveform Operation
In the full size waveform review window, you can:

Select waveforms to be saved

Select waveforms

Select sweep speed

Save event

Auto play

Record

Print

Save as

Export to Electronic Medical Record (EMR) system
For details about record, print and save as, refer to chapter 11 Record, Print and Save as.

Selecting waveforms to be saved
By clicking the “Wave Save” button, you can select waveforms to be saved for each patient
as desired following this procedure:
1.
Select a patient from “Patient Info” list.
2.
Select waveforms to be saved for this patient from the “Waveform” list.
3.
Repeat step 1 and step 2 to select waveforms to be saved for other patients.
4.
Select “OK” and the system will save all the selected waveforms.
The central station can save up to 240 hours of waveform data for each patient. If you did not
select waveforms for a patient, waveform and parameter values cannot be reviewed from the
“Waveform Review” window.
For details about automatic waveform storage, refer to 5.1.3 Auto Waveform Storage.

Selecting waveforms
Click the “Wave Select” button, and a list of available waveforms will be shown. By default,
all waveforms are selected. You can deselect a waveform by selecting its check box. You can
also drag a waveform name to change its display order.
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
Selecting sweep speed
By clicking the “Sweep Speed” button, you can set the width of waveforms displayed in the
waveform area. Available options are 6.25 mm/s, 12.5 mm/s, 25 mm/s and 50 mm/s.
Changing sweep speed will affect the time length of the waveform area. At the 1280×1024
resolution, the sweep speed and time length correlate as follows:

Sweep Speed
Time length (approximate)
6.25 mm/s
52.0s
12.5 mm/s
26.0s
25 mm/s
13.0s
50 mm/s
6.5s
Saving event
Clicking the “Save Event” button will enter a dialog box. Select the waveforms that can be
saved and input an event description. Then, select “OK” to save the currently displayed
waveform strips. The saved event can be viewed in the “Event Review” screen.

Auto play
By clicking “Auto Play” and then selecting
waveforms in the auto mode.

,
,
or
buttons, you can review
Export to EMR
By clicking the “Export to EMR” button, you can export 20 seconds of waveform data after
the start time of current waveform to other systems.
NOTE

The Export to EMR function is available only when the eGateway is configured.

The Export to EMR function is available when “Export Waveform Data” is
enabled in “Admin Setup” – “Other” – “Gateway Communication Setting” –
“Service Setup”.
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9.1.4 C.O. Review
9.1.4.1 Overview
Clicking the “C.O. Review” tab will enter a tab sheet, through which you can view up to 720
C.O. measurement curves and parameter values of a patient.
Below the C.O. review windows are the average C.O. and C.I. If you switch to the “Hemo
Calcs” tab sheet from a C.O. review window, the system will take the average C.O. and C.I.
corresponding to that C.O. review window as the inputs of the hemodynamic calculation.
9.1.4.2 Operation
In the “C.O. Review” window, you can:

Select measurements

Delete a set of measurements

Print

Record

Save as
For details about record, print and save as, refer to 11 Record, Print and Save as.
Selecting measurements
The time corresponding to each measurement is listed in the “Measure results list”, from
which you can select up to 6 measurements. To the right of the “Measure results list”, there
are six (6) C.O. review windows, displaying the C.O. curves and parameter values measured
at six (6) different times.
Click in a C.O. review window. The border of the window will highlight in blue when it is
selected.
Deleting a set of measurements
9-14
1.
Select the time or C.O. review window corresponding to the measurement you want to
delete.
2.
Click the “Delete” button, and a dialog box for you to confirm the deletion will pop up.
3.
Select “Yes” to delete the measurement.
DPM Central Station Operator’s Manual
9.1.5 Event Review
9.1.5.1 Overview
Clicking the “Event Review” tab will enter the following tab sheet, through which you can
view all event parameters and waveforms of a patient.
3
2
1
1 Event list
2 Event parameter area
3 Event waveform area
Figure 9-4 Event Review Tab Sheet
1.
Event list: displays event status (locked or not), time, message, priority and description.
2.
Event parameter area: displays all parameter values for each event time. The integrated
device parameters are indicated with a “+” before the parameter name, and the relevant
text is shown in white. The central station prompts if an alarm occurs for a specific
parameter and indicates the alarm priority by using different background colors.
3.

Black: no alarm generated

Red: high level alarm generated

Yellow: medium or low level alarm generated
Event waveform area: displays relevant parameters’ waveforms within ±16 seconds
around the event time. Please refer to 9.1.3.3 Full Size Waveform Review - Full Size
Waveform Review Screen - Waveform Area for how to use calipers, how to adjust ECG
waveform gain, and how to adjust sweep speed in waveform area.
Select an event from the event list and you will view its corresponding parameter values and
waveforms in the event parameter area and event waveform area.
NOTE

For the integrated device events, there are no corresponding waveforms in the
event waveform area.
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9.1.5.2 Operation
In the “Event Review” window, you can:

Select event type and alarm priority

Sequence the event list

Make selection

Lock and unlock

Delete

Sweep speed

Print

Record

Save as

Export to EMR
For details about sweep speed, refer to 9.1.3.3 Full Size Waveform Review -Full Size
Waveform Operation.
For details about record, print and save as, refer to chapter 11 Record, Print and Save as.
Selecting Event Type and Alarm Priority
Above the event list, there are two drop-down list boxes: “Filter by Event” and “Filter by
Priority”. By clicking the down arrow buttons next to them, you can select event type and
level. The selected events will be listed in the event list.
Options for event type are “All”, “ECG”, “SpO2”, “RESP”, “NIBP”, “IBP”, “C.O.”, “TEMP”,
“CO2”, “GAS”, “ICG”, “BIS”, “RM”, “CCO”, “SvO2”, “ScvO2”, “Arr”, “ST Analysis”,
“Saved Event” ,“Event”(only for telemetry monitor), “Anesthesia”, “Ventilator”, “Unknown
Phys. Alarm”, “User Initiated”(only for defibrillator), “Manual Event”, and options for alarm
priority include “All”, “High”, “Med”, “Low” or “Message”. By default, “All” for alarm type
and “All” for alarm priority are selected.
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Sorting the Event List
You can sort all events ascendingly or descendingly by clicking the heading of any column:

Time: Clicking it will sort all alarms ascendingly or descendingly by time.

Message: Clicking it will sort all alarms ascendingly or descendingly by parameter.

Description: Clicking it will sort all alarms ascendingly or descendingly by description.

Priority: Clicking it will sort all alarms ascendingly or descendingly by level.
At the same time, one of the following symbols will appear to the left of the heading:

for ascending sequence, and

for descending sequence.
By default, all events are sorted in descending order by time.
Making Selection
You can select single, multiple or all events in event list:

Select one event: Click one event you wish to select.

Select multiple events: You can select more than one event with the Ctrl or Shift keys.


Select the first event and then press and hold the Ctrl key. While holding down the
Ctrl key, select each of the other events you wish to select. This will select
multiple events that are not grouped together.

Select the first event and then press and hold the Shift key. While holding the key
down, click the last event. This will select all the events in-between the first and
last event.
Select all events: Click any event in the list, and then press the Ctrl + A keys on the
keyboard together and then all the events in the event list will be selected.
DPM Central Station Operator’s Manual
9-17
Locking and Unlocking Events
Select an event from the event list and then click the “Lock” button. The
icon will appear
to its left when the event is locked. The locked event cannot be deleted automatically, but can
be deleted manually.
NOTE

If events are all locked, the central station will automatically delete the oldest
locked event with each addition of a new event when system storage reaches
capacity.
When a locked event is selected, the button “Lock” will change to “Unlock”. You can click
the “Unlock” button to unlock the locked event.
Deleting Event
1.
2.
3.
Select the event you wish to delete from the event list.
Click the “Delete” button.
Select “OK” from the pop-up dialog box. This event will be deleted.
Export to EMR
Select one event from event list, and then click the “Export to EMR” button. The event
related data can be exported to other systems.
NOTE
9-18

The Export to EMR function is available only when the eGateway is configured.

The Export to EMR function is available when “Export Waveform Data” is
enabled in “Admin Setup” – “Other” – “Gateway Communication Setting” –
“Service Setup”.
DPM Central Station Operator’s Manual
9.1.6 12-Lead Review
If the bedside monitor supports the 12-lead analysis function, you can click the “12-lead
Review” tab to review the 12-lead analysis result obtained from the bedside monitor.
Refer to 9.1.3.3 Full Size Waveform Review - Full Size Waveform Review Screen Waveform Area for how to use calipers, how to adjust ECG waveform gain, and how to
adjust sweep speed in waveform area.
In the “12-lead Review” window, you can:

View 12 analysis waveforms

Delete

Sweep speed

Print

Record

Save as

Modify patient information
For details about sweep speed, refer to 9.1.3.3 Full Size Waveform Review -Full Size
Waveform Review Screen.
For details about record, print and save as, refer to chapter 11 Record, Print and Save as.
NOTE

In the “12-lead Review” tab sheet, there is no caliper measurement area. “PR”,
“QRS”, “RR” and “QT” cannot be measured.
Viewing 12-Lead Analysis Waveforms
12-Lead analysis waveforms will be displayed on the right side by selecting an analysis result
and clicking the “Waveforms” button. You can move the vertical scroll bar to view the
waveforms. To view the analysis results, click the “List” button.
Deleting a Result
You can delete an analysis result by selecting it, and then clicking the “Delete” button. For
details about record, print and save as, refer to chapter 11 Record, Print and Save as.
DPM Central Station Operator’s Manual
9-19
Modifying Patient Information
If the Glasgow algorithm is used for 12-lead ECG analysis in the bedside monitor, you can
modify the patient information by clicking the “Patient Info” button in “12-Lead Review” tab
sheet.
The editable patient information includes patient ID, last/first name, technician and physician.
The modified information will be updated in 12-lead analysis report, strip, and saved file. The
change of patient ID, first name or last name will also be updated in patient management.
9.1.7 ST Review
9.1.7.1 Overview
Click the “ST Review” tab to open the ST review window as shown in Figure 9-5. In this
window, you can view real-time ST segments and review historical ST segments. You can
also record and print out ST segments.
3
2
1
1. Setting control area
Time
scale
Reference Historical Reference ST
segment mark
cursor
cursor
2. Trend parameter area
ST segment
mark bar
3. ST segment area
Figure 9-5 ST Review
9-20
1.
Setting control area: sets up ST segments and trend parameters.
2.
Trend parameter area: displays trended parameters, reference cursor, historical cursor
and ST segment mark.
3.
ST segment area: displays real-time or historical ST segments and reference ST
segment.
DPM Central Station Operator’s Manual
WARNING

The ST algorithm has been tested for accuracy of the ST segment data. The
significance of the ST segment changes need to be determined by a clinician.
9.1.7.2 Operation
In the ST Review window, you can:

View ST segment

Set reference ST segment

Select reference ST segment

Delete reference ST segment

Set waveform speed

Set trend parameter

Print

Record
For details about record and print, refer to Chapter 11 Record, Print and Save as.
Viewing ST Segment
In the setting control area, you can select “Realtime” to view real-time ST segments,
“Historical” to view historical ST segments by using the “View Hist.” buttons. You can also
view historical ST segments by clicking any position in the parameter trend area.
Setting Reference ST Segment
When viewing real-time ST segments, click “Set as Ref.” to set the real-time ST segment to
reference ST segment. When viewing historical ST segments, click “Set as Ref.” to set the ST
segment located at the historical cursor to the reference ST segment.
Selecting Reference ST Segment
You can click the “Change Ref.” button to set the reference ST segment located at the
reference cursor to the current reference ST segment.
Deleting Reference ST Segment
You can click the “Delete Ref.” button to delete the reference ST segment located at the
reference cursor.
DPM Central Station Operator’s Manual
9-21
Setting Waveform Speed
You can click the “Sweep Speed” drop-down list to set different waveform speeds. The time
scale in the ST segment area is related to the waveform speed set. The greater the waveform
speed, the smaller the time scale.
Setting Trend Parameter
You can click the “Trend Parameter” drop-down list to select two different trend parameters
and “Zoom” drop-down list to set different time lengths.
The parameter trend data is not refreshed automatically. You can click the “Refresh” button
and set start time in the pop-up window, and then click “OK” to read the data again.
NOTE

There is no data displayed in the trend parameter area when viewing real-time
ST segments.
9.2 Discharged Patients
The central station is capable of searching and reviewing the history data of up to 20,000
patients. It includes all patients, patient management, waveform review, trend review, event
review, 12-lead review, ST review and C.O. review. By clicking the “Discharged Pat.” button,
you can enter the tab sheet, which contains nine (9) tabs as follows:

All patients

Patient Mgmt.

Waveform Review

Trend Review

Event Review

12-lead Review

ST Review

C.O. Review
NOTE

9-22
The patient management, waveform review, trend review, event review, 12-lead
review, ST review and C.O. review for discharged patients are basically the
same with that for online patients. For details, refer to 9.1 Online Review.
DPM Central Station Operator’s Manual
9.2.1 All Patients
9.2.1.1 Overview
In the “All patients” tab sheet, you can view discharged patients’ data from all central stations
on the network. Brief information of discharged patients on the selected central station is
shown in the patient list, with each line for one discharged patient.
NOTE

The discharged patients on a central station can be viewed only when the IP
address of a central station is added in the “System Setup” menu. Please refer to
12.2.8.7 Communication Settings for adding an IP address.
9.2.1.2 Operation
In the “All patients” tab sheet, you can:

Sort discharged patients

Search discharged patients

Delete discharged patients

Refresh
Sorting Discharged Patients
You can sort all discharged patients ascendingly or descendingly by clicking the heading of
any column. At the same time, one of the following symbols will appear to the left of the
heading:

for ascending sequence, and

for descending sequence.
By default, all discharged patients are sorted ascendingly by name.
Searching Discharged Patients
1.
Click the
button at the left of the “All patients” tab sheet, and the “All patients” tab
sheet will show an area for inputting search conditions at its left.
2.
Input search conditions, e.g. “Name” and “Patient ID”. You can click the “More
Options” to input more search conditions.
3.
Click the “Search” button. The system will search and display the discharged patients
that meet the search conditions.
DPM Central Station Operator’s Manual
9-23
Deleting Discharged Patients
1.
In the “Delete” column, select the check box corresponding to the patient that you want
to delete.
2.
Click the “Delete” button.
3.
Select “Yes” from the pop-up dialog box.
Refreshing Data
Clicking the “Refresh” button will update the discharged patient list.
NOTE
9-24

Only after selecting a discharged patient from the “All patients” tab sheet, can
you switch to other tab sheets for review.

If a patient is allowed to be viewed by remote CMS during monitoring, his
physiological data can be viewed in the “Discharged Pat.” window of other
central stations after he is discharged.
DPM Central Station Operator’s Manual
10 Calculation
10.1 Drug Calculation
Clicking the “Drug Calcs” tab will enter the tab sheet.
The “Calculated Results List” shows the time corresponding to a maximum of 75 calculations.
The drug parameter area is for you to enter parameter values and to display calculations. The
titration table is to show titrated results.
The button area contains the following buttons:

Calc.

Save Results

Delete

Record

Print

Save As
For details about Record, Print and Save as, refer to chapter 11 Record, Print and Save as.
DPM Central Station Operator’s Manual
10-1
Calculate
From the “Name” drop-down list below, you can select one of the choices listed to calculate
its amount, liquid volume, concentration, etc.

Drug A

Drug B

Drug C

Drug D

Drug E

AMINOPHYLLINE

DOBUTAMINE

DOPAMINE

EPINEPHRINE

HEPARIN

ISUPREL

LIDOCAINE

NIPRIDE

NITROGLYCERIN

PITOCIN
NOTE

Drug A through Drug E are user-defined drugs.
Procedure
To make a calculation:
1.
Confirm whether the patient type and weight entered are correct.
2.
Select a drug to be calculated.
3. The system will automatically give a set of values. Do not use these calculations. Instead,
input correct parameter values under the direction of a physician.
10-2
4.
Select “Reference”, “Step” and “Dose Type” for titration table.
5.
Click the “Calc.” button. The calculations will be displayed in the drug parameter area
and titration table.
DPM Central Station Operator’s Manual
WARNING

Be sure to input correct parameter values. The user must verify the correctness
of the calculations displayed on the screen before using them.

The calculations in the titration table are subject to the drug calculations,
therefore, the correctness of the drug calculations must be ensured. In addition,
the reference, step and dose type should be ensured correct.

We assume no responsibility for the results arising from incorrect inputs and
operations.
Save Results
The central station is capable of saving 75 calculations for each patient. To save calculations,
you can click the “Save Results” button after the calculation is finished.
If the drug you select is a user-defined drug, the system will open the “Enter drug name”
dialog box. Input a drug name and click “OK”. The system will remember this name and save
it into the Name drop-down list for later use.
All the saved calculations and their respective calculation times are displayed in the
“Calculated Results List”. From this list, you can select a specific calculation to view in the
drug parameter area. At this time, all parameters in the drug parameter area are unchangeable
but the reference, step and dose type in the titration table can be changed by selecting the
“New Calc.” button. Click the “New Calc.” button to input new parameter values and create a
new calculation.
Delete
To delete the unnecessary or incorrect calculations:
1.
Select the time corresponding to the calculation you want to delete from the “Calculated
Results List”.
2.
Click the “Delete” button below the “Calculated Results List”.
3.
Select “Yes” in the message box. The calculation will be deleted.
DPM Central Station Operator’s Manual
10-3
10.2 Hemodynamics Calculation
Clicking the “Hemo Calcs” tab will enter the tab sheet.
The “Calculated Results List” shows the time corresponding to a maximum of 100
calculations. The “Input Item” area allows you to enter parameter values and the “Calculated
Results” area is to display calculations.
In this tab sheet, you can:

Calculate

Save results

Delete

Print

Record

Save as.
For details about Record, Print and Save as, refer to chapter 11 Record, Print and Save as.
Calculate
To calculate a value:
1.
Input parameter values needed into the “Input Item” area.
2.
Click the “Calc.” button. The calculations of other parameters will be displayed in the
“Calculated Results” area. Values which are beyond the normal range will be displayed
on a yellow background.
WARNING

10-4
Be sure to input correct parameter values. The user must verify the correctness
of the calculations displayed on the screen before using them. We assume no
responsibility for the results arising from incorrect inputs and operations.
DPM Central Station Operator’s Manual
Save Results
The central station is capable of saving 100 calculations for each patient. To save calculations,
you can click the “Save Results” button after the calculation is finished.
NOTE

If you continue to perform the “Save Results” operation when the number of
calculations exceeds 100, the system will delete the earliest calculation and its
corresponding time from the “Calculated Results List” before saving the new
one.
Delete
To delete unnecessary or incorrect calculations:
1.
Select the time corresponding to the calculation you want to delete from the “Calculated
Results List”.
2.
Click the “Delete” button below the “Calculated Results List”.
3.
Select “Yes” in the message box. The calculation will be deleted.
10.3 Oxygenation Calculation
Clicking the “Oxygenation Calc.” tab will enter the tab sheet.
The “Calculated Results List” shows the time corresponding to a maximum of 100
calculations. The “Input Item” area allows you to enter parameter values, and the “Calculated
Results” area is to display calculations.
In this tab sheet, you can:

Calculate

Save results

Delete

Print

Record

Save as
For details about Record, Print and Save as, refer to chapter 11 Record, Print and Save as.
DPM Central Station Operator’s Manual
10-5
Calculate
To calculate a value:
1.
Input parameter values needed into the “Input Item” area.
2.
Pressure unit, Hb unit and Oxygen content unit can be changed by scrolling the
drop-down lists at the right side of “Press Unit” or “OxyCont Unit”. Parameter values
will automatically change and refresh accordingly.
3.
Click the “Calc.” button. The calculations of other parameters will be displayed in the
“Calculated Results” area. Parameter values which are beyond the normal range will be
displayed on a yellow background.
WARNING

Be sure to input correct parameter values. The user must verify the correctness
of the calculations displayed on the screen before using them. We assume no
responsibility for the results arising from incorrect inputs and operations.
Save Results
The central station is capable of saving 100 calculations for each patient. To save calculations,
you can click the “Save Results” button after the calculation is finished.
NOTE

If you continue to perform the “Save Results” operation when the number of
calculations exceeds 100, the system will delete the earliest calculation and its
corresponding time from the “Calculated Results List” before saving the new
one.
Delete
To delete unnecessary or incorrect calculations:
10-6
1.
Select the time corresponding to the calculation you want to delete from the “Calculated
Results List”.
2.
Click the “Delete” button below the “Calculated Results List”.
3.
Select “Yes” in the message box. The calculation will be deleted.
DPM Central Station Operator’s Manual
10.4 Ventilation Calculation
Clicking the “Ventilation Calc.” tab will enter the tab sheet.
The “Calculated Results List” shows the time corresponding to a maximum of 100
calculations. The “Input Item” area allows you to enter parameter values, and the “Calculated
Results” area is to display calculations.
In this tab sheet, you can:

Calculate

Save results

Delete

Print

Record

Save as.
For details about Record, Print and Save as, refer to chapter 11 Record, Print and Save as.
Calculate
To calculate a value:
1.
Input parameter values needed into the “Input Item” area.
2.
Pressure unit can be changed by scrolling the drop-down list at the right side of “Press
Unit”. Pressure values will automatically change and refresh accordingly.
3.
Click the “Calc” button. The calculations of other parameters will be displayed in the
“Calculated Results” area. Parameter values which are beyond the normal range will be
displayed on a yellow background.
WARNING

Be sure to input correct parameter values. The user must verify the correctness
of the calculations displayed on the screen before using them. We assume no
responsibility for the results arising from incorrect inputs and operations.
Save Results
The central station is capable of saving 100 calculations for each patient. To save calculations,
you can click the “Save Results” button after the calculation is finished.
DPM Central Station Operator’s Manual
10-7
NOTE

If you continue to perform the “Save Results” operation when the number of
calculations exceeds 100, the system will delete the earliest calculation and its
corresponding time from the “Calculated Results List” before saving the new
one.
Delete
To delete unnecessary or incorrect calculations:
1.
Select the time corresponding to the calculation you want to delete from the “Calculated
Results List”.
2.
Click the “Delete” button below the “Calculated Results List”.
3.
Select “Yes” in the message box. The calculation will be deleted.
10.5 Renal Calculation
Clicking the “Renal Calc.” tab will enter the tab sheet.
The “Calculated Results List” shows the time corresponding to a maximum of 100
calculations. The “Input Item” area allows you to enter parameter values and the “Calculated
Results” area is to display calculations.
In this tab sheet, you can:

Calculate

Save results

Delete

Print

Record

Save as
For details about Record, Print and Save as, refer to Chapter 11 Record, Print and Save as.
10-8
DPM Central Station Operator’s Manual
Calculate
To calculate a value:
1.
Input parameter values needed into the “Input Item” area.
2.
Click the “Calc” button. The calculations of other parameters will be displayed in the
“Calculated Results” area. Parameter values which are beyond the normal range will be
displayed on a yellow background.
WARNING

Be sure to input correct parameter values. The user must verify the correctness
of the calculations displayed on the screen before using them. We assume no
responsibility for the results arising from incorrect inputs and operations.
Save Results
The central station is capable of saving 100 calculations for each patient. To save calculations,
you can click the “Save Results” button after the calculation is finished.
NOTE

If you continue to perform the “Save Results” operation when the number of
calculations exceeds 100, the system will delete the earliest calculation and its
corresponding time from the “Calculated Results List” before saving the new
one.
Delete
To delete unnecessary or incorrect calculations:
1.
Select the time corresponding to the calculation you want to delete from the “Calculated
Results List”.
2.
Click the “Delete” button below the “Calculated Results List”.
3.
Select “Yes” in the message box. The calculation will be deleted.
DPM Central Station Operator’s Manual
10-9
FOR YOUR NOTES
10-10
DPM Central Station Operator’s Manual
11 Record, Print and Save as
11.1 Record
As shown in the Figure 11-1 below, the central station can be equipped with a thermal
recorder, which, with a separate power supply, is connected with the host of the central
station via the general interface.
Power indicator
Figure 11-1 Front Panel
Power switch
Equipotential grounding
connector
Fuse
RS232 connector
Power inlet
Figure 11-2 Back Panel
Recording can be divided into manual recording and auto recording. The former requires you
to press the “Record” button before recording. The latter, also called real-time recording,
means that the system will automatically initiates a recording when an alarm occurs. The
central station can print out the following information through the recorder:
DPM Central Station Operator’s Manual
11-1

Patient Information

Drug Calculations

Hemodynamics Calculations

Oxygenation Calculations

Ventilation Calculations

Renal Calculations

Waveforms

Events

C.O. Measurements

12-Lead Review

ST Review

ICG Hemodynamic Parameters

CCO Hemodynamic Parameters

SvO2/ScvO2 Oxygenation Parameters

Real-time Waveforms

Real-time Frozen Waveforms

Real-time Alarms
11.1.1 Installing Recorder Paper
WARNING
11-2

Be sure to use standard (50mm) thermal recorder paper only; otherwise, the
recorder may print with poor quality, may be unusable, or the recorder printer
head may become damaged.

Be careful to avoid damaging the printer head when installing recorder paper.
Never pull open the paper bail at the upper left corner of the recorder except if
you plan to replace the recorder paper or resolve an issue.
DPM Central Station Operator’s Manual
Installing Procedure
To install recorder paper:
1.
Open the recorder door, and open the paper bail at the upper left corner of the recorder,
shown in Figure 11-3.
2.
Insert a new roll of recorder paper into the paper compartment, shown in Figure 11-4.
3.
Insert the paper shown in Figure 11-5.
4.
Pull the paper out and adjust it, shown in Figure 11-6.
5.
Push down the paper bail, shown in Figure 11-7.
6.
Close the recorder door, shown in Figure 11-8.
Figure 11-3 Installing Recorder Paper -1
Figure 11-4 Installing Recorder Paper -2
Figure 11-5 Installing Recorder Paper -3
Figure 11-6 Installing Recorder Paper -4
Figure 11-7 Installing Recorder Paper -5
Figure 11-8 Installing Recorder Paper -6
DPM Central Station Operator’s Manual
11-3
11.1.2 Recorder Operations
Recording Patient Information
1.
Enter the “Patient Mgmt.” tab sheet.
2.
Make sure that the patient information is correct.
3.
Click the “Record” button to print out the patient information.
Recording Drug Calculations
1.
Enter the “Drug Calcs” tab sheet.
2.
Perform drug calculation as per 10.1 Drug Calculation.
3.
Click the “Record” button to print out the drug calculations result.
Recording Hemodynamics Calculations
1.
Enter the “Hemo Calcs” tab sheet.
2.
Perform hemodynamics calculation as per 10.2 Hemodynamics Calculation.
3.
Click the “Record” button to print out the hemodynamics calculations.
Recording Oxygenation Calculations
1.
Enter the “Oxygenation Calc.” tab sheet.
2.
Perform oxygenation calculation as per 10.3 Oxygenation Calculation.
3.
Click the “Record” button to print out the oxygenation calculations.
Recording Ventilation Calculations
1.
Enter the “Ventilation Calc.” tab sheet.
2.
Perform ventilation calculation as per 10.4 Ventilation Calculation.
3.
Click the “Record” button to print out the ventilation calculations.
Recording Renal Calculations
11-4
1.
Enter the “Renal Calc.” tab sheet.
2.
Perform renal calculation per 10.5 Renal Calculation.
3.
Click the “Record” button to print out the renal calculations.
DPM Central Station Operator’s Manual
Recording Full Size Waveforms
1.
Enter the “Waveform Review” tab sheet.
2.
Click the “Full Size” button.
3.
Click the “Record” button.
4.
Select a maximum of two (2) waveforms from the pop-up dialog box.
5.
Select “OK” to print out the selected waveforms.
Recording Events
1.
Enter the “Event Review” tab sheet.
2.
Select an event from the event list per 9.1.5 Event Review.
3.
Click the “Record” button.
4.
From the pop-up dialog box, you can select a maximum of two (2) waveforms.
5.
Select “OK” to print out the selected waveforms.
Recording C.O. Measurements
1.
Enter the “C.O. Review” tab sheet.
2.
Select one C.O. measurement.
3.
Click the “Record” button to print out the selected C.O. measurement.
Recording 12-Lead Analysis Results
1.
Enter the “12-lead Review” tab sheet.
2.
Click the “Record” button.
3.
Select “Time Range” from the pop-up dialog box.
4.
Click “OK” to print out the 12-lead analysis result list.
Recording 12-Lead Analysis Waveform
1.
Enter the “12-lead Review” tab sheet.
2.
Click the “Waveforms” button after selecting an analysis result.
3.
Click the “Record” button to print out the analysis results and 12 analysis waveforms.
DPM Central Station Operator’s Manual
11-5
Recording ST Segment Waveform
1.
Enter the “ST Review” tab sheet.
2.
Click the “Record” button.
3.
Select “Sweep Speed” from the pop-up dialog box.
4.
Click “OK” to print out ST segment.
Recording ICG Hemodynamic Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click the ICG parameter area.
3.
Select the “ICG” tab sheet and click the “Hemodynamic Parameters” button.
4.
Click the “Record” button from the pop-up dialog box.
Recording CCO Hemodynamic Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click CCO parameter area.
3.
Select the “CCO” tab sheet and click the “Hemodynamic Parameters” button.
4.
Click the “Record” button from the pop-up dialog box.
Recording SvO2/ScvO2 Oxygenation Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click SvO2/ScvO2 parameter area.
3.
Select the “SvO2” or “ScvO2” tab sheet and click the “Oxygenation Parameters” button.
4.
Click the “Record” button from the pop-up dialog box.
Recording Real-time Waveforms
1.
Enter the “ViewBed” tab sheet.
2.
Click the “Record” icon at the upper right corner.
3.
Select a maximum of two (2) waveforms from the pop-up dialog box.
4.
Click “OK” to print out the selected waveforms.
or
11-6
1.
Enter the “Multibed” screen and select the desired patient window.
2.
Click the drop-down menu button.
3.
Select “Record” to print the displayed waveforms.
DPM Central Station Operator’s Manual
Recording Real-time Frozen Waveforms
1.
Enter the “ViewBed” tab sheet.
2.
Click the “Freeze” icon at the upper right corner.
3.
Click the “Record” icon at the upper right corner.
4.
Select a maximum of two (2) waveforms from the pop-up dialog box.
5.
Click “OK” to print out the selected waveforms.
Recording Real-time Alarms
If a parameter generates an alarm when its alarm switch and record switch are set to “ON”,
the central station will initiate a real-time alarm recording.
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11.1.3 Recording Control
By clicking the “System Setup” button then selecting the “Recording Control” tab, you can
enter a tab sheet.
In this tab sheet, the current tasks to be printed out are displayed. After selecting one task,
you can:

Click the “Delete” button to delete this task.

Click the “Move Up” button to increase its priority.

Click the “Move Down” button to decrease its priority.

Click the “Pause” button to pause this task.

Click the “Continue” button to resume the paused task.
In this tab sheet, you can also:

Click the “Record Type” drop-down menu to select desired record type.

Click the “Sweep Speed” drop-down menu to select a desired waveform sweep speed
from the options of 25mm/s and 50mm/s.

Select the check box before “Grid” to select whether to display the grid in the recording.
NOTE
11-8

The system can store a maximum of 50 print tasks or requests.

The paused task will not be printed out. If it is followed by other tasks to be
printed out, these tasks will be printed out through the recorder. The resumed
task will be printed out in correct order.

The real-time and ongoing recordings cannot be paused.

The automatically stopped recordings will record two lines of ‘*’ at the end of
reports; manually stopped or abnormally stopped recordings will record one
line of ‘*’ at the end of reports.
DPM Central Station Operator’s Manual
11.2 Print
11.2.1 Printing Support
The central station can be connected with a local printer or network printer to print out
reports. With a separate power supply system, the local printer is directly connected to the
central station through the general interface. The network printer is connected to the central
station through the network interface.
The recommended printer types for the central station are listed in the following table.
Printer type
Description
HP LaserJet 401n
Supports A4 or Letter sized paper.
HP LaserJet M602
You can purchase the printer directly from Mindray or buy the desired printer by yourself.
For details about how to use the printer, refer to the accompanying document provided with
the printer.
11.2.2 Printing Contents
The central station printer can print:

Patient Information

Drug Calculations

Hemodynamics Calculations

Oxygenation Calculations

Ventilation Calculations

Renal Calculations

Graphic or Tabular Trends

Full Size Waveforms

Waveform Segment Reports

Compressed Waveforms

Arrhythmia Statistic Results

Event List

Event

C.O. Measurements

12-Lead Analysis Results

12-Lead Analysis Waveforms
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11-9

ST Segment Waveforms

Real-time Report

12-Lead ECGs

Multi-lead ECGs

EEG Waveforms

ICG Hemodynamic Parameters

CCO Hemodynamic Parameters

SvO2/ScvO2 Oxygenation Parameters

Alarm Settings Report

Real-time Alarm
11.2.3 Printing Operations
Printing Patient Information
1.
Enter the “Patient Mgmt.” tab sheet.
2.
Make sure the patient information is correct. If not, correct it and click “Save” button.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing Drug Calculations
1.
Enter the “Drug Calcs” tab sheet.
2.
Perform drug calculation per 10.1 Drug Calculation.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
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DPM Central Station Operator’s Manual
Printing Hemodynamics Calculations
1.
Enter the “Hemo Calcs” tab sheet.
2.
Perform hemodynamics calculation per 10.2 Hemodynamics Calculation.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing Oxygenation Calculations
1.
Enter the “Oxygenation Calc.” tab sheet.
2.
Perform oxygenation calculation per 10.3 Oxygenation Calculation.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing Ventilation Calculations
1.
Enter the “Ventilation Calc.” tab sheet.
2.
Perform ventilation calculation per 10.4 Ventilation Calculation.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing Renal Calculations
1.
Enter the “Renal Calc.” tab sheet.
2.
Perform renal calculation per 10.5 Renal Calculation.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
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Printing Graphic or Tabular Trends
Manual printing:
1.
Enter the “Trend Review” tab sheet.
2.
Set the resolution or zoom per 9.1.2 Trend Review.
3.
Click the
icon on the right side of the “Print” button in the tabular trends and select
“Print Setup” to set up the printing options.
4.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
5.
Click the “Print” button.
Scheduled printing:
1.
Enter the “Trend Review” tab sheet.
2.
Click the
icon on the right side of the “Print” button, and select “Scheduled Report
Setup” to set up the printing options.
3.
Click “Close” button to exit the menu. The report will be printed at the start time you set
in the printing control screen per 11.2.4 Printing Control. If you want to print the report
now, click “Print Now” button.
NOTE

The option “Scheduled Report Setup” is only available in the “Trend Review”
tab sheet when the check box before “Scheduled Report” is selected in the
“Printing Control” tab sheet.
Printing Full Size Waveforms
1.
Enter the “Waveform Review” tab sheet. If compressed waveforms are displayed, click
the “Full Size” button in the lower right corner of the screen.
2.
Select the current review time.
3.
Click the
icon on the right side of the “Print” button and select “Print Setup” to
perform print setups as prompted.
4.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
5.
Click the “Print” button.
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DPM Central Station Operator’s Manual
Printing Waveform Segment Reports
1.
Enter the “Waveform Review” tab sheet. If full size waveforms are displayed, click the
“Compressed” button in the lower right corner of the screen to change to the
Compressed Waveform view.
2.
Select the desired waveform groups by double-clicking to add them to the report. At
most, six (6) waveform groups can be printed on each page. You can also deselect a
waveform group by double clicking it again. The “Prev” and “Next” button can be used
to toggle between the selected waveform groups.
3.
Select “Print Preview” to preview the printout.
4.
Click the “Print All” button.
Printing Compressed Waveforms
1.
Enter the “Waveform Review” tab sheet. If full size waveforms are displayed, click the
“Compressed” button in the lower right corner of the screen.
2.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
3.
Click the “Print” button.
Printing ARR Statistic Results
1.
Enter the “Waveform Review” tab sheet. If full size waveforms are displayed, click the
“Compressed” button in the lower right corner of the screen.
2.
Click the “ARR Statistic” button to enter the “ARR Statistic” menu where you can view
the statistics about the HR value and the number of each arrhythmia type occurred
during a specified time range.
3.
Click the “Print” button.
Printing Event Lists
1.
Enter the “Event Review” tab sheet.
2.
icon on the right side of “Print” button under the event list and select
Click the
“Print Setup” to set up the printing options.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
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11-13
Printing Events
1.
Enter the “Event Review” tab sheet.
2.
Select an event from the event list per 9.1.5 Event Review.
3.
Click the
icon on the right side of “Print” button under the event parameter area and
select “Print Preview” to preview the printout.
4.
Click the “Print” button.
Printing C.O. Measurements
1.
Enter the “C.O. Review” tab sheet.
2.
Select one C.O. measurement.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing 12-Lead Analysis Results
1.
Enter the “12-lead Review” tab sheet.
2.
icon on the right side of the “Print” button and select “Print Setup” to set
Click the
the “Time Span”.
3.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
4.
Click the “Print” button.
Printing 12-Lead Analysis Waveforms
1.
Enter the “12-lead Review” tab sheet.
2.
Click the “Wave” button after an analysis result is selected.
3.
Click the
icon on the right side of the “Print” button and select “Print Setup” to set
up the printing options.
4.
Click the
icon on the right side of the “Print” button and select “Print Preview” to
preview the printout.
5.
Click the “Print” button.
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DPM Central Station Operator’s Manual
Printing ST Segment Waveforms
1.
Enter the “ST Review” tab sheet.
2.
icon on the right side of the “Print” button and select “Print Preview” to
Click the
preview the printout.
3.
Click the “Print” button.
Printing Real-time Waveforms
1.
Enter the “ViewBed” tab sheet.
2.
Click the “Print” button.
3.
Select the desired waveforms from the pop-up dialog box.
4.
Click the “OK” button.
or
1.
Enter the “Multibed” screen and select the desired patient window.
2.
Click the drop-down menu button.
3.
Click the “Print” button to print the displayed waveforms.
Printing 12-Lead ECGs
1.
Enter the “12-lead ECG analysis” tab sheet from the monitor.
2.
Enter the “ViewBed” tab sheet from the central station.
3.
Click “Show Multi-lead ECG” icon at the upper right corner to display the 12-lead ECG
waveforms.
4.
Click the “Print” icon at upper right corner.
5.
In the pop-up dialog box, select “Print Layout”.
6.
Click the “OK” button.
Printing Multi-Lead ECGs
1.
Enter the “ViewBed” tab sheet.
2.
Click the “Show Multi-lead ECG” icon to display the multi-lead ECG waveforms.
3.
Click the “Print” icon at the upper right corner.
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11-15
Printing EEG Waveforms
1.
Enter the “ViewBed” tab sheet.
2.
Click the “BIS Expand View” icon to display the BIS window.
3.
Click the “Display” button and select “EEG” from the pop-up drop-down menu.
4.
Click the “Print” button.
Printing ICG Hemodynamic Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click ICG parameter area.
3.
Select the “ICG” tab sheet and click the “Hemodynamic Parameters” button.
4.
Click the “Print” button from the pop-up dialog box.
Printing CCO Hemodynamic Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click CCO parameter area.
3.
Select the “CCO” tab sheet and click the “Hemodynamic Parameters” button.
4.
Click the “Print” button from the pop-up dialog box.
Printing SvO2/ScvO2 Oxygenation Parameters
1.
Enter the “ViewBed” tab sheet.
2.
Select and then click SvO2/ScvO2 parameter area.
3.
Select the “SvO2” or “ScvO2” tab sheet and click the “Oxygenation Parameters” button.
4.
Click the “Print” button from the pop-up dialog box.
Printing Alarm Settings Report
1.
Enter “Alarm Setup” screen as per 8.4 Alarm Setup.
2.
Click “Print” button.
Printing Real-time Alarms
If a parameter generates an alarm when its alarm switch and print switch are set to “ON”, the
central station will initiate a real-time alarm printing.
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DPM Central Station Operator’s Manual
11.2.4 Printing Control
By clicking “System Setup” button and then selecting the “Printing Control” tab, you can
select local printer or network printer from the printer drop-down list.
In the tab sheet, the current tasks to be printed are displayed. After selecting one task, you
can:

Click the “Delete” button to delete this task.

Click the “Pause” button to pause this task.

Click the “Continue” button to resume the paused task.

Click the “Delete All” button to delete all printing tasks.
You can set up the printing in the “Print Setup” area on the right side of the sheet.

Sweep Speed: select a sweep speed of waveform from the options of 12.5mm/s, 25mm/s
and 50mm/s.

12-Lead Printout Sequence: set the printing mode in 12-lead ECG report.


“Simultaneous”: print simultaneous 12-lead ECG data.

“Sequential”: The 12-lead ECG data of a certain period is sequentially printed. The
period is decided by the print layout setting. For example, when the print layout is
set to 6×2+1, the l2 leads are allocated into two columns. The time span of each
column is 5 seconds: the first column is 0-5s waveforms; the second column is
5s-10s waveforms. One row of rhythm waveform is located at the bottom.
Grid: Select if grid is printed.
You can set up the scheduled report printing in the “Scheduled Report Setup” area on the
right side of the sheet.

Scheduled Report: select or deselect the checkbox before “Scheduled Report” to switch
the periodic report print on or off .

Start Time: set up the start time to print.

Interval: set up the desired interval.
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11-17
NOTE

If printing fails, restart the printer and press the “Restart Print Service” button
to resume.

When a network printer is selected, only printing tasks of the central station are
displayed. The printing tasks of other networks are not displayed.

The option “Scheduled Report Setup” is available in “Trend Review” tab sheet
only when the check box before “Scheduled Report” is selected in the “Printing
Control” tab sheet.
11.3 Save as
The central station can save the following items as HTML files:

Graphic trends

Tabular trends

Waveform review

C.O. review

Event list review

Event review

Drug calculations

Hemodynamics calculations

Oxygenation calculations

Ventilation calculations

Renal calculations

12-lead review

DSA graph
With the file name defaulted as “XXXX-patient name YYYY”, in which the “XXXX”
represents one of the above items. If no patient name is input, the file name will have no
patient name. If it is the first time saving, the “YYYY” will be 0001, which will
automatically add one (1) every time data is saved.
The saved files can be browsed using Internet Explorer on other computers.
The files can be saved to a mobile hard disk, flash, or the like, which must be connected to
the central station before saving. If no storage device is connected, the system will give the
“No valid storage device found in the system, please confirm!” message.
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DPM Central Station Operator’s Manual
After a USB device is successfully connected to the central station, the
icon will appear
in the system icon area.
To disconnect the USB device from the central station:
1.
Click the
2.
Click the “Delete disk driver safely” prompt.
3.
After the
icon.
icon disappears, you can disconnect the USB device from the central
station.
Graphic Trends
1.
Enter the “Trend Review” tab sheet.
2.
If tabular trends are currently displayed on the screen, click the “Graphic” button.
3.
Click the “Save As” button. A dialog box will be displayed.
4.
Select a drive and click “OK”. The graphic currently displayed on the screen will be
saved to the selected storage disk.
Tabular Trends
1.
Enter the “Trend Review” tab sheet.
2.
If graphic trends are currently displayed on the screen, click the “Tabular” button.
3.
Click the “Save As” button. A dialog box will be displayed.
4.
Select a time range and click “OK”. The “Save As” dialog box will be displayed.
NOTE

5.
The system will save the data within the time range prior to save the start time.
Select a disk driver name and click “OK”. The data in the tabular trends will be saved to
the selected storage disk.
Full Size Waveform Review
1.
Click the “Waveform Review” tab sheet. If compressed waves are displayed, click the
“Full Size” button in the lower right corner of the screen.
2.
For operation details, refer to 9.1.3 Waveform Review.
DPM Central Station Operator’s Manual
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3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a drive and click “OK”. The waveforms currently displayed on the screen will be
saved to the selected storage disk.
Compressed Waveform Review
1.
Click the “Waveform Review” tab sheet. If full size waveforms are displayed, click the
“Compressed” button in the lower right corner of the screen.
2.
For operation details, refer to 9.1.3 Waveform Review.
3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a disk driver name and click “OK”. The waveforms currently displayed on the
screen will be saved to the selected storage disk.
C.O. Review
1. Enter the “C.O. Review” tab sheet.
2. Select the C.O. measurements to be saved per 9.1.4 C.O. Review.
3. Click the “Save As” button. The “Save As” dialog box will be displayed.
4. Select a disk driver name and click “OK”. The currently selected C.O. measurements
will be saved to the selected storage disk.
Event List Review
1.
Enter the “Event Review” tab sheet.
2.
Select “Filter by Event” and “Filter by Priority”.
3.
Click the “Save As” button below the event list. The “Save As” dialog box will be
displayed.
4.
Select a disk driver name and click “OK”. The contents in the event list will be saved to
the selected storage disk.
Event Review
1.
Enter the “Event Review” tab sheet.
2.
Select an event from the event list.
3.
Click the “Save As” button below the event parameter area. The “Save As” dialog box
will be displayed.
4.
Select a disk driver name and click “OK”. The waveforms and parameters of the event
will be saved to the selected storage disk.
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DPM Central Station Operator’s Manual
Drug Calculation
1.
Enter the “Drug Calcs” tab sheet.
2.
Perform drug calculation per 10.1 Drug Calculation.
3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a disk driver name and click “OK”. This set of drug calculations will be saved.
Hemodynamics Calculation
1. Enter the “Hemo Calcs” tab sheet.
2. Perform hemodynamics calculation per 10.2 Hemodynamics Calculation.
3. Click the “Save As” button. The “Save As” dialog box will be displayed.
4. Select a disk driver name and click “OK”. This set of hemodynamics calculations will
be saved.
Oxygenation Calculation
1.
Enter the “Oxygenation Calc.” tab sheet.
2.
Perform oxygenation calculation per 10.3 Oxygenation Calculation.
3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a disk driver name and click “OK”. This set of oxygenation calculations will be
saved.
Ventilation Calculation
1.
Enter the “Ventilation Calc.” tab sheet.
2.
Perform ventilation calculation per 10.4 Ventilation Calculation.
3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a disk driver name and click “OK”. This set of ventilation calculations will be
saved.
Renal Calculation
1.
2.
3.
4.
Enter the “Renal Calc.” tab sheet.
Perform renal calculation per 10.5 Renal Calculation.
Click the “Save As” button. The “Save As” dialog box will be displayed.
Select a disk driver name and click “OK”. This set of renal calculations will be saved.
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11-21
12-Lead Analysis Results
1.
Enter the “12-lead Review” tab sheet.
2.
Click the “Save As” button. The “Save As” dialog box will be displayed.
3.
Select a disk driver name and click “OK”. The 12-lead analysis result list will be saved.
12-Lead Analysis Waveforms
1.
Enters the “12-lead Review” tab sheet.
2.
Click the “Wave” button after an analysis result is selected.
3.
Click the “Save As” button. The “Save As” dialog box will be displayed.
4.
Select a disk driver name and click “OK”. The 12-lead analysis waveforms will be
saved.
DSA Graph
1.
Enter the “BIS Expand View” tab sheet.
2.
Click the “Display” button and select “DSA” from the pop-up drop-down menu.
3.
Click the “Save As” button.
4.
Select a disk driver name and click “OK”. The DSA graph will be saved.
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DPM Central Station Operator’s Manual
12 System Setup
12.1 General Setup
Clicking the “System Setup” will access a tab sheet.
The central station has three levels of setup:

Low level:
“General Setup”

Medium level:
“Admin Setup”

High level:
“Factory Setup”
Certain authority is required if you want to modify some system configurations or execute
certain operations. The user with lower authority cannot modify the configuration of the user
with higher authority, but the user with higher authority can modify the setups of the user
with lower authority.
When the system starts, the default setup is the “General Setup”. The “Factory Setup” is
intended for use only by manufacturer-designated personnel.
In the “General Setup” tab sheet, you can:
Set Alarm Volume
The system provides 11 volume levels. You can select one as required. For details, refer to
12.2.3 Alarm - Set Minimum Alarm Volume and 8.3 Alarm Volume.
Set Reminder Volume
You can set the reminder volume as “High”, “Med” or “Low”.
Set Telemetry Alarm Delay
You can set telemetry alarm delay time (6 sec by default) and ST alarm delay time (30 sec by
default). The alarms include: HR too high, HR too low, SpO2 too high, SpO2 too low, PR too
high, PR too low, ST too high and ST too low.
DPM Central Station Operator’s Manual
12-1
Draw Waveform Type
There are two options:

COLOR: Selecting this option allows you to see smoothed waveforms.

MONO: Selecting this option allows you to see unprocessed waveforms.
Set Display Grid
You can set whether to display the grid in the waveform area.
Set Unit
Click the “Unit Setup” button to enter the Unit Setup screen. You can set unit for each
parameter of the following modules as required:
Module
Parameter
Options
Defaults
NIBP
NIBP
mmHg, kPa
mmHg
CO2
CO2
mmHg, kPa
mmHg
TEMP
T1, T2, TD, TB
℃, ℉
℃
ECG
ST
mV, mm
mV
Vascular Resistance
SVR/PVR
DS/cm5, kPa-s/l
DS/cm5
Oxygenation
Hb
g/dl, g/l, mmol/l
g/dl
IBP
IBP
mmHg, kPa, cmH2O
mmHg
CO2
mmHg, kPa, %
mmHg
O2
mmHg, kPa, %
mmHg
GAS
12-2
DPM Central Station Operator’s Manual
Module
Parameter
Options
Defaults
Pressure
cmH2O, mbar, hpa
cmH2O
CO2
mmHg, kPa, mbar, hpa
mmHg
tcpCO2/tcpO2
mmHg, kpa
mmHg
Glucose
Glucose
mmol/L, mg/dl
mmol/L
I/O Fluid
I/O Fluid
ml, L
ml
Device Intergration
Enter Admin Setup
By clicking the “Admin Setup” button and inputting the required password, you can enter the
Admin Setup menu. For details, refer to 12.2 Admin Setup.
Enter Factory Setup
By clicking the “Factory Setup” button and inputting the required password, you can enter
the Factory Setup menu. As the “Factory Setup” is intended for use only by the
manufacturer-designated personnel, no details will be given in this manual.
12.2 Admin Setup
Click the “Admin Setup” button in the “General Setup” tab sheet. The “Enter Password”
dialog box will pop up. After inputting the required password, select “OK” to enter a tab
sheet.
12.2.1 Setting Color
On the central station screen, all related information of one monitored parameter appears in
the same color. The related information includes real-time waveforms (including waveform
name, gain and filter mode), real-time parameter values (including high and low limits),
reviewed waveforms (including waveform name, gain and filter mode), etc. you can set color
for each monitored parameter and arrhythmia mark as required.
Procedure
1.
Enter the “Color” tab sheet and then select a parameter or ARR mark whose color you
want to change.
2.
Click the color box corresponding to the parameter or ARR mark, and a list of available
colors will be displayed.
3.
Select your desired color from the list.
DPM Central Station Operator’s Manual
12-3
4.
If you want a color that is not in the list, click “Others” to enter the window, through
which you can define a color you want.
5.
Select a color and click “OK”.
12.2.2 Display Setup
You can set screen size, number of main screen /display layout, multibed display, multibed
window layout and auxiliary window.
Screen Size
1.
Click the “Display Setup” tab.
2.
Select the display type from the “Screen Size” drop-down menu.
3.
Click the “Close” button.
NOTE

The screen size setting change will take effect after the central station restarts.
The central station supports up to four (4) displays at one time. It will check the number of
displays every time it starts. When more than one display is used simultaneously, they should
adopt the same screen size and resolution. To ensure the normal operation of the central
station, you should select the screen size of the display actually used and the display
resolution should be set to 1280 x 1024 pixels. Setting resolution to other pixels may cause a
display error.
Number of Main Screen / Display Layout
Select a number for the item “Number of Main Screen” to change the displaying mode, if the
central station is equipped with two (2) displays:

If “1” is selected, there is only one main screen which always displays the multibed
screen. The other display is the auxiliary screen, always for single bed window and
system menu.

If “2” is selected, the two screens are both able to be used as the main screen. If you
want to view a single bed, the single bed window will be shown in the auxiliary display;
if not, the two screens will both show multibed screen.
If a central station is equipped with four displays, select the option of “1×4” or “2×2” for
“Display Layout” to change the cursor moving mode.
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DPM Central Station Operator’s Manual

When the four displays are arranged in a line, select “1×4”. You can move the cursor
from current display to its neighboring diplays, as shown in Figure 12-1.
Figure 12-1 Cursor Moving Mode: 1×4

When two displays are stacked on the other two displays, select “2×2”. You can move
the cursor from current display to its neighboring displays, as shown in Figure 12-2.
Figure 12-2 Cursor Moving Mode: 2×2
NOTE

The display setting changes will take effect after the central station restarts.
Multibed Display

Select/deselect the check box before “Measurement Units” to show/hide parameter units
on the multibed screen.

Select/deselect the check box before “Patient Name” to show/hide patient name on the
multibed screen.

In “Name Displaying Hotkey”, you can set the hotkey which can be used to display
name in the first waveform area of patient window on the multibed screen. The default
hotkey is F9. If the check box before “Patient Name” is not selected, the patient’s name
displays when you press the hotkey, and the name does not display after 30 seconds or
when you press the hotkey again.

In “Change to Idle Sector”, you can configure the switch of setting to an idle sector in
multibed screen:
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12-5

If “Enable” is selected, the drop-down list of a “No patient admitted or patient
transferred” patient window on multibed screen will display the option “Change to
Idle Sector”;

If “Disable” is selected, the drop-down list of a “No patient admitted or patient
transferred” patient window on multibed screen will not display the option “Change
to Idle Sector”.
Multibed View Window Layout
You can select the number of rows and columns for multibed view window based on the
actual needs. The range for the number of rows is 2 to 8 and that for the number of columns
is 1 to 3. The product of the number of rows and that of columns is the number of patient
sectors. The number of patient sectors on a single screen cannot exceed 16. After the number
of rows and columns are selected, you can preview the new layout set on the right side of the
screen.
After the number of rows and columns are selected, the setting of multibed view window
layout takes effect.
ECG Lead Sequence
You can choose an option from “Standard” and “Cabrera” for “ECG Lead Sequence” to set
waveform sequence for multi-lead ECG:

Standard: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6

Cabrera: aVL, I, -aVR, II, aVF, III, V1, V2, V3, V4, V5, V6
After the ECG lead sequence is set, the waveform sequence will be updated in the
followings :
12-6

The display in 12-lead review

The realtime display in multi-lead ECG screen

12-lead analysis waveform report

12-lead analysis waveform strip

The XML file of 12-lead analysis waveform

12-lead ECG report

Multi-lead ECG report
DPM Central Station Operator’s Manual
Auxiliary Window Setup
Auxiliary window setup means to set the tab sheets on the single bed window. The six
functional items of patient management, ViewBed, waveform review, trend review, event
review and display setup are fixed to be selected while OxyCRG review, ST review, 12-lead
review, C.O. review, drug calculation, hemodynamic calculation, OxyCRG calculation, renal
calculation and ventilation calculation are user selectable. You can change the display order
of the functional items via the “Move Up”, “Move Down”, “Move First” and “Move Last”
buttons on the right side of the dialog box.
After the functional items are set, click “OK” to activate the setting.
12.2.3 Alarm
Click “Alarm” to open a dialog box.
Set Minimum Alarm Volume
The minimum alarm volume level can be set from 0 to 10.
Switch On/Off Reminder Tone and Set its Interval
The “Reminder Tone” can be set to “On” or “Off”. When it is set to “On”, in the status of
central station system silence or audio alarm off, the central station can give a reminder tone
in case of an active alarm condition. When it is set to “Off”, the reminder tone will not be
produced.
You can set the reminder interval as “1 min”, “2 min” or “3 min”. The default one is “1 min”.
Alarm Off Reminder Tone is same as the highest level alarm tone.
Silence Hotkey
For details, refer to 8.9 Central Station System Silence.
Set Alarm Audio Mode
You can set the alarm audio mode as “ISO”, “MODE 1” or “MODE 2”.
Set Alarm Sound Intervals
If the alarm audio mode is set as “ISO”, you can set alarm sound intervals by toggling
between “High Alarm Interval (s)”, “Med Alarm Interval (s)” and “Low Alarm Interval (s)”.
You cannot change the interval between alarm tones if you choose mode 1 or 2 as your
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12-7
desired alarm audio mode. For these two modes, the interval between alarm tones identifies
the alarm levels as follows:


Mode 1:

Interval between high level alarm tones:

Interval between medium level alarm tones: 5 s

Interval between low level alarm tones:
continuously
20 s
Mode 2:

Interval between high level alarm tones:

Interval between medium level alarm tones: 5 s

Interval between low level alarm tones:
1s
20 s
Select Stored Waveforms
In the “Alarm” tab sheet, you can select the relevant waves stored when alarms occurred to
the specific parameter.
1.
Click the “Alarm” tab sheet.
2.
Select a parameter from the “Alarm Numeric” list. Then select the relevant wave stored
from the “Related Waveform” when the alarm occurred.
3.
Click “Save” to save the selected wave.
4.
Click “Default” to restore all parameters to the default configuration.
NOTE

No matter how many waveforms are selected from the Related Waveform list,
the system can at most save three (3) waveforms and record two (2) waveforms
for one parameter when an alarm occurs.

Your selections are only effective for later alarms. For already existing alarms, it
is unnecessary to re-select waveforms.
12.2.4 Trend Group
You can set the parameters in “Trend Review” by group.
The Trend Group tab sheet contains a system default trend groups list and a custom trend
groups list, and the list of corresponding trend group member parameters also
. The system provides 9 default trend groups, which are “All”, “Standard”, “ECG”, “GAS”,
“Hemodynamic”, “RM”, “BIS”, “Ventilator” and “Anesthesia”. You cannot edit the default
trend groups.
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
Create trend group click “New Group” and enter the name of custom trend group in the
pop-up dialog box.

Edit trend group after selecting custom trend group, you can select/deselect the member
parameters or adjust the order of member parameters in the list.

Save trend group after creating or editing trend group, click “Save Group” to save the
new or modified trend group.

Delete trend group you can delete any custom trend group from the trend group list.

Rename trend group click the custom trend group to be renamed, enter the new name of
the trend group in the pop-up dialog box.
12.2.5 Monitor List
Clicking the “Monitor List” will enter a tab sheet, which lists all the monitors in the LAN
including the monitors admitted by this central station. The displayed items are: monitor
name, unit, bed no., IP address and monitoring status. The patient can be admitted by the
central station only after the monitor is admitted by the central station.
Refresh
You can update the list by clicking the “Refresh” button.
Admit
You can select the monitor with the monitoring status of “Not admitted by CMS” and then
click the “Admit” button to admit it to this central station.
Cancel
You can select the monitor with the monitoring status of “Admitted by this CMS” and then
click the “Cancel” button to cancel the admission.
Cancel All
You can click the “Cancel All” button to cancel this central station’s admission of all the
monitors.
Admit All Current Unit's Monitors
You can admit all current unit’s monitors to this central station by clicking the “Admit All
Current Unit's Monitors” button. If “Auto Admit All Current Unit's Monitors” is selected, the
admission can be done automatically.
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12.2.6 Log
Clicking the “Log” tab will enter a tab sheet, which records the operating status of the central
station providing the convenience for the service personnel to track and maintain the system.
Each log includes occurrence time, log level, and log description.
Delete
You can delete all logs by clicking the “Delete All” button.
Refresh
You can update the logs by clicking the “Refresh” button.
Export
To export the logs:
1.
Click the “Export” button. The “Save As” dialog box will be displayed.
2.
Select a disk to which the logs are exported. The disk can be a local hard disk, mobile
hard disk or USB.
3.
The default file name is “cmsXXXX”. If it is the first time saving, the “XXXX” will be
0001, which will automatically add 1 every time log is saved. You can change the file
name as required.
4.
Click “OK” to initiate exporting data.
5.
Click “Cancel” to cancel exporting data.
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12.2.7 Telemetry
If your central station is connected with telemetry monitors, select the “Telemetry” tab. You
can set the following items in an opened tab sheet.
Alarm Level Setup
Click the “Alarm Level Setup” button. In the pop-up menu, you can set the “Alm Lev of
ECG Lead Off”, “Alm Lev of SpO2 Sensor Off” and “Alm Lev of No RF signal” to “High”,
“Med” or “Low”. The default setting is “Low”.
Monitoring Mode Setup
Monitoring mode setup means to establish a corresponding connection between the telemetry
transmitter and multibed patient sector. The central station provides two monitoring modes:
Fixed monitoring: to establish fixed corresponding connections between the telemetry
transmitter and the multibed patient sector. Such corresponding connections are not changed
when the patient is discharged. The patient sector displays bed number and serial number of
telemetry transmitter and the bed mark color is not changed. The patient sector displays “No
patient admitted or patient transferred”.
Flexible monitoring: no fixed corresponding connections are established between the
telemetry transmitter and multibed patient sector. The corresponding connections are relieved
when the patient is discharged. The patient sector is idle and displays “Idle sector. Click to
admit a patient”.
Click the “Monitoring Mode Setup” button and select the telemetry monitoring mode from
the pop-up menu. The options are “Fixed Monitoring” and “Flexible Monitoring”. The setting
is activated immediately.
System Information
In the “System Information” area, the main board software version, receive board software
version, total run-time are displayed.
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Lethal Arrh. Off Settings
The “Lethal Arrh. OFF” can be set for the telemetry monitoring system.

If it is set to “Disable”, all the lethal Arrhythmia alarms switches are set to “ON” and are
unchangeable. The “All Alarm Off” button is inactive.

If it is set to “Enable”, the switches of lethal Arrhythmia alarms are able to be set. The
“All Alarm Off” button is active.
Nurse Call and Event Setup
To enable or disable the nurse call function and/or event function on the telemetry monitoring
system, you can make the following settings.

If “Enable” is selected, the telemetry system will enable the nurse call and event
functions, and the Patient Mgmt. screen will display the “Nurse Call” and “Event”
fields.

If “Nurse Call” is selected, the telemetry system will enable the nurse call function, and
the Patient Mgmt. screen will display the “Nurse Call” field.

If “Event” is selected, the telemetry system will enable the event function, and the
Patient Mgmt. screen will display the “Event” field.

If “Disable” is selected, the telemetry system will disable nurse call and event functions,
and there are no fields of “Nurse Call” and “Event” in the Patient Mgmt. screen.
Nurse Call Audio Mode
You can set the nurse call audio mode as “ISO”, “MODE 1” or “MODE 2”.
IP Address
The IP Address window is used only to change the IP Address of the TMS-6016 receiver. The
IP address should "NEVER" be changed, once it is set up during installation by a properly
trained Service person.
12.2.8 Other
Clicking the “Other” tab will enter a tab sheet.
In this tab sheet, you can turn on or off the following options:

Shutdown Requires Password: If this option is turned on, you need to input a password
before shutting down the system.

Change Language

Change User Password

Change Time
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
Change Hospital Name

Database Backup and Recovery

Gateway Communication Setting

Communication Settings

Remote Control Setting
12.2.8.1 Change Language
The central station has multiple languages available, from which you can choose any one as
required. When the central station starts, the default language is the language selected at time
of installation.
1.
Click the “Change Language” button. The dialog box will be displayed.
2.
Click the down arrow button to view a list of available languages.
3.
Select the desired language. It is recommended to select the ones registered at time of
installation and supported by the operating system.
4.
Click the “OK” button.
5.
If the language you have selected is not supported by the operating system, a message
will be displayed. You can follow it.
NOTE

If the language you selected is inconsistent with that of the operating system,
unrecognizable characters may occur at the central station. If this occurs,
change the operating system language and region settings by following the
operating system operator’s manual.
12.2.8.2 Change User Password
1.
Click the “Change User Password” button. The dialog box will be displayed.
2.
Input old password and new password before selecting “OK”.
3.
If the change succeeds, the “Password changed. Please remember new password.”
message box will be displayed. Select “OK” to activate your change.
4.
If the old password you have entered is incorrect or the new password is entered
inconsistently, the system will give a prompt message. You can select “OK” to repeat
the input procedure.
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NOTE

If you use the factory password to enter the “Admin Setup” tab sheet, you can
directly input the new password without inputting the old password.
12.2.8.3 Change Central Station Time
WARNING

Do not change the operating system time if the central station software is
installed.
NOTE

After the central station time is changed, the networked monitor system time
will be synchronized to match the central station system time.

When a monitor is connected to the central station, the monitor system time will
be synchronized to match the central station system time.

The central station will synchronize the time of the networked monitors on its
whole hours.

The system time of the defibrillator will not be synchronized by the central
station.
The central station system time can be changed automatically or manually.
Automatically change time:
1.
Click the “Change Time” button, and the dialog box will be displayed.
2.
Set “Time Synchronization” to “On”.
3.
Input master time server IP and second time server IP.
4.
Click “OK”.
Manually change time:
1.
Click the “Change Time” button, and the dialog box will be displayed.
2.
Set “Time Synchronization” to “Off”.
3.
Adjust the “Set System Time” setting: For year, month and date, you can either click
them one after another to highlight the number and then use the keyboard to enter the
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DPM Central Station Operator’s Manual
number you want manually, or click the down arrow button to open the time table and
then select it from the table.
4.
For hour, minute and second, you can either click them one after another to highlight the
number and then use the keyboard to enter the number you want manually, or click the
up or down arrow button to make changes.
5.
Click “OK”.
12.2.8.4 Change Hospital Name
1.
Click the “Change Hospital Name” button.
2.
Input hospital name and unit name.
3.
Select “OK”.
NOTE

Hospital name should be within 128 characters,and department name should be
within 8 characters.
12.2.8.5 Auto Shrink Database
Auto shrink database provides the ability to clear up the invalid data in the database and
release storage space. The system requires database shrinking daily. The default time of auto
database shrink is set to zero hour (00:00:00). You can set to another desired time upon your
needs.
To set the auto shrink database:
1.
Click the “Auto Shrink Database” button.
2.
Input the preset time for auto database shrink.
3.
Click “OK”.
12.2.8.6 Gateway Communication Setting
NOTE

Settings in the following "Tabs" should not be changed, except by trained
Service Personnel.
When the central station is configured with eGateway, the Gateway communication setting
menu provides three (3) tabs which are Network Setup, Authorization Setup and Service
Setup.
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
Network Setup
The “Network Setup” tab sheet lists the information about the network adapters configured
on the central station. One of the network adapters is for internal communication within the
central station and beside monitors; the other network adapter is for inter-communication
between the central station and other systems. Select and activate one network adapter, the
communication between the central station and other systems is established.
To activate a network adapter:
1.
Select the network adapter type to be activated.
2.
Select one IP address as required if there are multiple IP addresses in the “IP Address”
area on the right.
3.
Click “OK”.
When a network adapter has been activated, the network card type and IP address
background color is light gray.

Authorization Setup
The central station “Authorization Setup” menu lists the departments and bed numbers of all
bedside monitors within the central station. If the check boxes before the department and bed
number are selected, other systems networked with this central station are authorized to view
the patient. If the check boxes before the department and bed number are not selected, other
systems networked with this central station are not authorized to view the patient.

Service Setup
The “Service Setup” tab sheet lists CMS+ to Elan translator, ADT query and data export
setup items:
CMS+ to Elan Translator
The options are “Enable” and “Disable”. When “Disable” is selected, all items in “Gateway
Communication Settings”, “ADT Query Setup” and “Data Export Setup” are grey, and the
central station does not communicate with eGateway.
Gateway Communication Settings
You can set the central station’ communication mode with the eGateway:
12-16

If “Multicast” is selected, the central station communicates with eGateway in
multicast mode.

If “Unicast” is selected, the central station communicates with the specified
eGateway in unicast mode. “IP Address” will be eGateway address, and “Port”
setting will be consistent with that set in eGateway.
DPM Central Station Operator’s Manual
ADT Query Setup
“ADT Query” switch, and the “IP Address” and “Port” for communicating with eGateway
can be set here. When “ADT Query” is set to “Enable”, the “IP Address” and “Port” can be
edited. “IP Address” will be eGateway address, and setting of “Port” setting will be consistent
with that set in eGateway.
NOTE

The "Obtain Patient Information" button is available on the patient
management screen only when“ADT Query”is set to “Enable”.
Date Export Setup

Input multicast IP address and port. “IP Address” will be eGateway address, and
“Port ” setting will be consistent with that set in eGateway.

Export Waveform Data: When configured to “Enable”, the button “Export to
EMR” will be displayed on the “Waveform Review” (full size waveform view) and
“Event Review” sheets. Then the waveform or event can be exported to other
systems. When configured to “Disable”, the waveform or event cannot be exported
to other systems.

Export 12-Lead ECG Report: When configured to “Enable”, once the central
station receives the 12-lead ECG analysis result from the bedside monitor, the
central station will automatically generate a 12-lead ECG report, and send the
report to other systems. When configured to “Disable”, the report will not be
generated.
The sampling characteristics of ECG waveforms are:

Sampling frequency: export in waveform review and event review:80 Hz; export in
12 lead analysis review: 256 Hz

Sampling amplitude resolution: 19.5313 uV/LSB

Significant bits: 8 bits
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12.2.8.7 Communication Settings
NOTE

Settings in the "Communication Settings" menu should not be changed, except
by trained Service Personnel.
Multi-CMS Communication Settings
Add or delete the IP address of other central stations in the Multi-CMS Communication
Settings area. You can view other beds on that central station only when the corresponding IP
address of a central station is added.
To add a central station:
1.
Select the “Communication Settings” button and open the “Communication Settings”
menu.
2.
Select “Add” button, and then input the IP address of a central station on which you
want to proceed viewing other beds in the opened dialog box.
3.
Select “OK”.
To delete a central station:
1.
Click the “Communication Settings” button and open the “Communication Settings”
menu.
2.
3.
Select one central station IP address and then select “Delete” button.
Select “OK”.
Bedside Monitoring Network Settings
Set the central station IP Address, multicast mode and broadcast mode.

CMS IP Address: In the drop-down list, select the IP address of the network adapter
which is for internal communication within the central station and beside monitors.

Multicast Mode: When the bedside monitor is configured with multicast mode, if select
“Multicast Mode”, the central station can detect the bedside monitor. The bedside
monitor will appear in the “Monitor List” menu of “System Setup” and be ready to be
admitted.

Broadcast Mode: When the bedside monitor is configured with broadcast mode, if select
“Broadcast Mode”, the telemetry can be viewed on the bedside monitor.
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12.2.8.8 Remote Control Settings
In “Remote Control Settings” menu, you can make the following settings:

Alarm Paused & Alarm Reset: Select the checkbox before “Alarm Paused & Alarm
Reset” to switch on/off alarm paused or alarm reset function. If the checkbox is selected,
you can remotely control the alarm pause or alarm reset of the bedside monitors on the
central station. So the corresponding controls are available in the drop-down menu of
spot patient window and the icons in the button area of ViewBed screen are active. If the
checkbox is not selected, you cannot use those functions.

Alarm Setup: select or deselect the checkbox before “Alarm Setup” to switch on or off
remote alarm setup. If the checkbox is selected, you can remotely change the settings of
activation state, alarm priority, alarm high/low limit, ARR threshold, Apnea alarm time
and Desat limit of the monitor. If the checkbox is not selected, you can not change those
settings on the central station.

Alarm Latched: Select the checkbox before “Alarm Latched” to turn on or turn off alarm
latched function. When “Alarm Latched” is selected, you can remotely control to enable
the alarm latched function. Click the
button in ViewBed window and the “Alarm
Setup” menu will pop up. The options of “Alarm Latched” in the menu are active. When
“Alarm Latched” is not selected, the alarm latched function is disabled.

Privacy Mode: Select the checkbox before “Privacy Mode” to turn on/off this function.
When “Privacy Mode” is selected, you can remotely control the bedside monitor to enter
privacy mode. The corresponding control is available in the drop-down menu of the spot
patient window. If it is not selected, you cannot use this function. The corresponding
control is unavailable in the drop-down menu of the spot patient window.

Night Mode: Select the checkbox before “Night Mode” to turn on/off this function.
When “Night Mode” is selected, you can remotely control the bedside monitor to enter
Night mode. The corresponding control is available in the drop-down menu of the spot
patient window. If it is not selected, you cannot use this function. The corresponding
control is unavailable in the drop-down menu of the spot patient window.
NOTE

When the central station restarts, the “Alarm Setup”, “Alarm Paused & Alarm
Reset”, “Alarm Latched”, “Privacy Mode” and “Night Mode” checkboxes
remain the same as the central station was last turned off.
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FOR YOUR NOTES
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DPM Central Station Operator’s Manual
13 Remote CMS
13.1 Overview
In the event that there are multiple central stations in a LAN, the central station can view a
single patient connected to the target central station in the LAN through the Remote CMS
window.
Through the Remote CMS window, you can only view the target monitor rather than setting
and controlling the target central station or monitor.
NOTE

One central station can be viewed by a maximum of 16 other central stations
simultaneously.
13.2 Remote CMS Viewbed Window
Click the “Remote CMS” button at the bottom of the screen and enter the Remote CMS
window. Then select the “ViewBed” tab. The ViewBed screen is shown as below.
1
3
2
4
5
6
7
8
1. Beds list
2. Patient information area
3. Physiological alarm area
4. Alarm icon area
7. Waveform area
5. Technical alarm area
8. Parameter area
6. Button area
Figure 13-1 Remote CMS Viewbed Screen
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13-1
13.2.1 Beds List
The beds list displays the information about all central stations and networked bedside
monitors (target monitors) in the same network segment of an LAN.
When the “Remote CMS” screen is accessed, the central station will automatically list other
central stations which can be operated remotely. Only when the central stations’ IP addresses
are added in the Communication Settings menu, the names of the corresponding central
stations will be automatically displayed in the list.
In the beds list, the first-level nodes are the unit names of the central stations; the
second-level nodes are the monitors connected to the central stations. Generally, the name of
the second-level node is department, bed number and patient name.
You can select the target monitor to be viewed by selecting the radio button before the
second-level node, or the monitor.
The background color indicates the status of the target monitor.

White: indicates that no alarm occurs to the target monitor.

Red: indicates that a high level alarm, nurse call or event occurs to the target monitor.

Yellow: indicates that a medium or low level alarm occurs to the target monitor.

Grey: indicates that the target monitor is in standby status.

Light Grey: indicates that the target monitor is offline.
13.2.2 Physiological Alarm Area
This area is to display physiological alarm messages and relevant text coming from the
viewed target monitor circularly. The display rule is same as that in physiological alarm area
of patient window. Please refer to 6.2.3.5 Physiological Alarm Area.
Different background colors are used to indicate the alarm priorities.

Red: indicates that a high level alarm occurs to the target monitor.

Yellow: indicates that a medium or low level alarm occurs to the target monitor.
13.2.3 Technical Alarm Area
This area is to display technical alarm messages or prompt messages circularly coming from
the viewed target monitor. The display rule is same as that in the technical alarm of patient
window. Please refer to 6.2.3.4 Technical Alarm Area.
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13.2.4 Alarm Icon Area
This area displays icons for alarm pause
reset
, monitor silenced
, alarm off
, alarm audio off
, alarm
. Please refer to 6.2.3.3Alarm Icon Area.
NOTE

In the Remote CMS window, only the alarm messages coming from the target
monitor will be displayed.
13.2.5 Button Area
Click this button to open the “Filtering Setup” menu, from which you can select your desired
waves and parameters. The waveform and parameter areas will then display the
corresponding waveforms and parameters.
13.2.6 Waveform Area
This area displays the waveforms on the target monitor.
13.2.7 Parameter Area
This area displays the parameters on the target monitor. Each block displays the parameters
from the same parameter module.
13.3 Remote CMS Review
In the Remote CMS window, there is waveform review tab, trend review tab, event review
tab, OxyCRG review tab, ST review tab, 12-lead Review tab and C.O. Review tab. Select a
tab and then you can access the corresponding review sheet. The function of Remote CMS
review is similar to that of local CMS online review. Please refer to 9.1 Online Review.
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13.4 Network Setup and Authorization
13.4.1 IP Address Setup
To implement the Remote CMS function between central stations, each central station needs
to be equipped with at least two network adapters, one of which is for internal
communication within the current central station and the other is for inter-communication
between the central stations. The typical configuration is shown below:
Current central station A
Target central station B
Target central station C
Network
adapter A1
Network
adapter A2
Network
adapter B1
Network
adapter B2
Network
adapter C1
Network
adapter C2
196.76.0.X1
168.168.4.X2
196.76.0.Y1
168.168.4.Y2
196.76.0.Z1
168.168.4.Z2
As shown in the table above, network adapter A1, B1 and C1 are used for the communication
between the central station and the monitors. Their IP addresses are in the same network
segment with the IP addresses of respective monitors. Network adapter A2, B2 and C2 are
used for the inter-communication between the central stations. Their IP addresses belong to
the same network segment and X2, Y2 and Z2 shall be different.
NOTE

The IP address shall be set by authorized personnel.

If a central station needs to implement the Remote CMS function on another
CMS, the IP address of another central station has to be added into it. Please
refer to 12.2.8.7 Communication Settings for details.
13.4.2 Setting the Network Card for Remote CMS
A central station is configured with two network cards, one for the central station internal
communication and the other for remote central stations. When the network card for remote
central station is activated (the network card type and IP address background color is light
gray), it will transmit data via HL7 protocol. Other central stations can view the data of the
patient authorized in the “Authorization Setup” menu of the central station. When this
network card is not activated, the central station cannot transmit data to other central stations,
and other central stations cannot view the patient data of this central station.
Please refer to the network setup in 12.2.8.6 Gateway Communication Setting for how to
activate network adapter for remote central stations.
13-4
DPM Central Station Operator’s Manual
13.4.3 Authorization
Please refer to 12.2.8.6 Gateway Communication Setting for authorization setup.
NOTE

Other central stations can view the patient data within the central station
through the “Remote CMS” window only when “Network Setup” and
“Authorization Setup” are correct.
DPM Central Station Operator’s Manual
13-5
FOR YOUR NOTE
13-6
DPM Central Station Operator’s Manual
14 Database Backup and Recovery
14.1 Overview
The central station provides database backup and recovery.
The central station will shut off automatically during database backup and recovery.
You can start database backup and recovery by operating the central station or the Windows
operating system, or when you fail to log into the database.
By operating the central station
Enter the “Admin Setup” menu; select “Other” to open a tab sheet.
Click the “Database Backup and Recovery” button and a message box will pop up. Select
“Yes”, the central station will automatically shut off and start database backup and recovery.
NOTE

Take care to perform database backup and recovery. This will automatically
shut off the central station.
When the central station fails to log in the database
The central station will automatically log into the database when it starts. If it fails to log into
the data base, a message box will pop up. Click the “Restart” button to restart the central
station; select the “Recover” button to backup and recover the database.
By operating the Windows operating system
Click the “Start” button of the Windows operating system; select “Programs” and then select
“Database Backup and Recovery” to run the database backup and recovery program.
DPM Central Station Operator’s Manual
14-1
14.2 Backup Database
14.2.1 Select Operation Type
When you run the “Database Backup and Recovery” program, a dialog will pop up for you to
select the operation type. Select “Backup Database”.
14.2.2 Select Backup Path
You can backup the database on the local hard disk or on a USB disk.
Select a path from the drop-down list. The available hard disk partitions are listed
automatically and a directory in which the backup file is stored is created automatically.
NOTE

Do not modify the directory of the backup file. It is specified by the system.
The directory is named YYYYMMDDhhmmbak, in which YYYY refers to the year, MM
refers to the month. DD refers to the date, hh refers to the hour and mm refers to the minute.
14.2.3 Backup Database
After selecting the backup path, click the “Next” button and a dialog box will appear. Click
the “Start” button to start database backup.
If database backup is overtime or an abnormal condition occurs during database backup, a
message will be presented.
If the backup database is stored on the local hard disk, the old backup file will be deleted
automatically so that only one backup file is stored on the local hard disk. If the backup is
stored on the USB disk, the old one will not be deleted.
14-2
DPM Central Station Operator’s Manual
14.3 Recover Database
CAUTION

The recovered database will overwrite the current one. Make sure whether you
need to backup the current database before carrying out database recovery.
NOTE

If the central station cannot start normally due to database error resulting from
abnormal shutoff or improper operation, recover the database.
14.3.1 Select Operation Type
After the “Database Backup and Recovery” program starts up, the dialog box will appear.
Select “Recover Database”.
14.3.2 Select Path
You can recover the database from local hard disk or from a USB disk.
If you select local hard disk, the system will search the correct backup database for recovery
on the local hard disk.
If you select the USB mobile medium, click the
icon and select the backup file for
recovery.
14.3.3 Recover Database
After selecting the correct path for database recovery, select the “Next” button to enter a
dialog box. Then click the “Start” button to start database recovery.
If database recovery is overtime or an abnormal condition occurs during database recovery, a
message will be presented.
DPM Central Station Operator’s Manual
14-3
14.4 Rebuild Database
After the “Database Backup and Recovery” program starts up, the dialog box will appear.
Select “Rebuild Database”.
NOTE

All the data in the current database will be deleted during rebuilding the
database.

All alarm settings previously saved will be lost and will have to be manually
restored.
14.5 Shrink Database
After the “Database Backup and Recovery” program starts up, the dialog box will appear.
Select “Shrink Database”.
If an abnormal condition occurs during database shrink, a message will be presented.
14.6 Exit Database Backup and Recovery
When you exit the “Database Backup and Recovery” program, the central station will start
automatically.
14-4
DPM Central Station Operator’s Manual
15 System Help
15.1 Overview
The central station features a webpage-like on-line help so that you can obtain a better
understanding of the system. Click the “Help” menu to enter the help screen.
There are three icons on the top left of the Help screen:

: Page down

: Page up

: Return to the screen as shown in the above figure

: Display copyright information, including system software version, system software
and database copyright information and so on
NOTE

The help information on the central station is not only about the system itself,
but also on a number of concepts and operations related to bedside monitors.
You can enter corresponding help information by selecting any of the following three links:

Introduction: Brief introduction to the central station and its configuration.

Operation Introduction: Introduction to various operations of the central station, such as
multi-bed and viewbed observation.

Bio Essentials: Introduction to monitoring function of each parameter module, such as
ECG, SpO2, etc.
DPM Central Station Operator’s Manual
15-1
FOR YOUR NOTES
15-2
DPM Central Station Operator’s Manual
A Technical Specifications
A.1 Requirements
The computer of the central station should be highly reliable and stable. The commercial
computer we recommend is HP EliteDesk 800 G1 SFF. Recommended configurations of HP
EliteDesk 800 G1 SFF are:
Components
Requirements
System
Meet the IEC60950 requirements defined for ITE equipment, and comply
with CE low voltage directives (LVD) and EMC directives.
Host
Intel Core [email protected]
4G minimum DDRIII
500 GB minimum SATA Hard Disk, support data redundancy by dual hard
disks
1000M Network adapter, Base-T, Ethernet 802.3, RJ45 port
Six or more USB ports, support USB 2.0
One or more serial ports
Display
17" LCD minimum, 1280×1024, length: width 4:3 or 5:4, with CE marking.
Operating
System
Support Windows® 7 Professional Embedded SP1
Antivirus
Support Solidcore S3 Control
Dual-display
graphic card
Minimum 256M; NVIDIA GeForce 8500 GT or above
Audio
Adapter
Analog Devices AD1884 @ Intel 82801IB ICH9 - High Definition Audio
Controller
Mouse
With CE marking.
Keyboard
With CE marking.
Recorder
Mindray thermal array, serial port.
Printer
Supporting A4 and Letter paper.
Speaker
Built in the computer or the display. Give alarm tones (45 to 85 dB), alarm
tones comply with IEC 60601-1-8.
NOTE

The configuration above is for reference only.
DPM Central Station Operator’s Manual
A-1
A.2 Recorder
Size
210×100×100 mm
Weight
1 kg
Type
Thermal recorder
Record rate:
25 mm/s, 50 mm/s
Interface
RS232 interface
Width of the recorder paper
50 mm
A.3 Wired Network
Network structure
Ethernet 802.3
Transmission rate
10/100 Mbps
Network interface
RJ45
Max alarm time delay
≤ 2s
A.4 Review
Dynamic short trend
4 hours
Trend review
240 hours
Waveform review
240 hours of full-disclosure waveforms and compressed
waveforms
C.O. review
720 measurements
NIBP review
Most recent 240 hours of NIBP measurements
Event review
720 events, including the parameter name and 16s waveform
respectively before and after the alarm is triggered
Historic review
up to 20,000 discharged patients’ data
12-lead Review
720 12-lead analysis results, 12 analysis waveforms for each
analysis result
ST review
Most recent 240 hours of ST segments
A.5 Calculation
Drug calculation
75 calculations for single patient
Hemodynamics calculation
100 calculations for single patient
A-2
DPM Central Station Operator’s Manual
Oxygenation calculation
100 calculations for single patient
Ventilation calculation
100 calculations for single patient
Renal calculation
100 calculations for single patient
A.6 Save as
File format
Html
Storage medium
mobile hard disk, flash drive
Contents
Graphic/table, waveform review, C.O. measurements, event
review, drug calculations, hemodynamics calculations,
oxygenation calculations, ventilation calculations, renal
calculations, 12-lead Review and DSA graph
A.7 Print
Print paper
A4 or Letter
Contents
Patient information, Graphic/table, waveform review, waveform
segment report, C.O. measurement, events, drug calculation,
hemodynamic calculations, oxygenation calculations, ventilation
calculations, renal calculations, 12-lead Review, ST waveforms,
real-time report, 12-lead ECG report, multi-lead ECG report,
ARR statistic result, EEG report, ICG report, CCO report,
SvO2/ScvO2 report, alarm settings report, real-time alarm report.
A.8 Record
Contents
Patient information, waveform review, C.O. measurement,
events, drug calculation, hemodynamics calculations,
oxygenation calculations, ventilation calculations, renal
calculations, real-time waveform recoding, real-time alarm
recording, 12-lead Review, ST review, ICG hemodynamic
parameter, CCO hemodynamic parameter, SvO2/ScvO2
oxygenation parameters
DPM Central Station Operator’s Manual
A-3
A.9 Data Export
Data format
Standard xml file 1
Protocol
Windows CIFS 2
ECG waveform sampling
characteristics
1
2
A-4
Frequency:
Export in waveform review and event
review: 80 Hz
Export in 12 lead analysis review: 256 Hz
Amplitude
resolution:
19.5313 uV/LSB
Significant bits:
8 bits
: For more information, please contact Mindray.
: The CIFS protocol is from Windows Operating System.
DPM Central Station Operator’s Manual
B Central Station Alarms
The central station alarms displayed in the system alarm area on the upper screen are shown
in the table below.
Alarms
Level
Cause and solution
Printer is out of toner
Low
Install the toner.
Printer is off line
Low
Connection between printer and computer may
have a problem. Check the connection.
Printer paper is jammed
Low
Change the paper and then restart the printer and
printing task.
Printer is out of paper
Low
Load paper and then restart the printing task.
Opening Recorder Port Failed
Med
Restart the recorder.
Recorder Paper Jam
Low
Reload the paper.
Recorder Out of Paper
Low
Reload the paper.
Recorder Out of Alignment
Low
Adjust the recorder head.
Recorder is Too Hot
Low
The recorder has worked for a long time. Wait
until it cools down.
Recorder Self-check Error: CPU
Med
Restart the recorder.
Recorder Self-check Error:
RAM
Med
Recorder Self-check Error:
ROM
Med
Recorder Self-check Error:
WatchDog
Med
Recorder Not Available
Med
Recorder S. Communication
Error
Med
Check the connection cable of recorder serial
port.
Network is disconnected. Please
check.
High
Check the network.
Network is not configured or
disabled. Please check.
High
Check the network configuration of the central
station.
No bed is online. Please check
network connection.
High
Check whether the patient monitor has connected
to the network.
Database service is abnormal.
Please restart CMS or contact
the service representative.
High
Database service has an error. Restart the central
station to restore database service or contact the
service personnel.
The patient storage space is
nearly full. Please delete some
discharged patients.
Med
The discharged patient storage space is nearly
full. Please delete some discharged patients.
DPM Central Station Operator’s Manual
B-1
The central station alarms displayed in the patient window’s technical alarm area are shown
in the table below.
Alarms
Level
Cause and solution
Patient information conflict.
Low
For an already-admitted patient, its monitor
re-logs onto the central station after logging off
for some reason. The central station detects the
patient information is inconsistent between itself
and the monitor. Prompt message will also appear
in the “Patient Mgmt.” tab sheet. You need to
decide which patient information to use.
Offline
Low
The bedside monitor is disconnected from the
central station network. Please check.
B-2
DPM Central Station Operator’s Manual
C Units, Symbols, Terms and Formulas
C.1 Units
BPM
beats per minute
℃
centigrade
cc
cubic centimeter
cm
centimeter
cmH2O
cmH2O
dB
decibel
℉
Fahrenheit
g
gram
GB
giga bytes
GTT
gutta
hr
hour
hPa
hPa
Hz
hertz
"
inch
k
kilo
kg
kilogram
kPa
kilopascal
l
litre
lb
pound
m
meter, minute
M
mega
MB
mega bytes
mbar
mbar
MHz
mega hertz
mcg
micrograms
mEq
milli-equivalents
mg
milligrams
min
minute
ml
milliliter
mm
millimeters
mmHg
millimeters of mercury
DPM Central Station Operator’s Manual
C-1
ms
millisecond
RPM
respiration per minute
s
second
V
volt
W
watt
C.2 Symbols
-
minus
%
percent
&
and
/
per, divide, or
~
to
+
Plus
<
Less than
=
Equal to
>
Greater than
±
Plus or minus
×
Multiply
C.3 Abbreviations
ABBREVIATION
DEFINITIONS
air cyl.
Air cylinder pressure
AC
Alternating current
ADT
Admission\Discharge\Transfer
AgAwRR
Anaesthesia gas air-way respiration rate
Air Flow
Air flow
AG
Anaesthesia gas
ART
Arterial
ATMP
Atmospheric pressure
AP MAP
Mean artery pressure
AUX
Auxiliary
AVF
Left foot augmented lead
C-2
DPM Central Station Operator’s Manual
ABBREVIATION
DEFINITIONS
AVL
Left arm augmented lead
AVR
right arm augmented lead
AWRR
Air way respiratory rate
BC
Burst count
BIS
Bispectral index
CCI
Continuous cardiac index
Cdyn
Dynamic compliance
CE
Conformité Européenne
CFI
Cardiac function index
CH
Channel
C.I.
Cardiac index
CS
Central station
C.O.
Cardiac output
CCO
Continuous cardiac output
CO2
Carbon dioxide
Compl
Compliance
CPI
Cardiac power index
CPO
Cardiac power output
CPU
Central processing unit
CRT
Cathode ray tube
Cr
Creatinine
Cstat
Static compliance
CVP
Central venous pressure
DES
Desflurane
D, DIA
Diastolic
dPmx
Left ventricular contractility
DO2
Oxygen delivery
DO2I
Oxygen delivery index
ECG
Electrocardiograph
EDV
End-diastolic volume
EE
Energy expenditure
EEC
European Economic Community
EMC
Electromagnetic compatibility
EMG
Electromyograph
EMR
Electronic Medical Record
ENF
Enflurane
DPM Central Station Operator’s Manual
C-3
ABBREVIATION
DEFINITIONS
Et
End-tidal
EtAA
End-tidal anesthetic agent
EtAA 2nd
2nd Exp. Agent
EtDes
End-tidal anaesthetic agent
EtSev
End-tidal anaesthetic agent
EtEnf
End-tidal anaesthetic agent
EtIso
End-tidal anaesthetic agent
EtHal
End-tidal anaesthetic agent
EtCO2
End-tidal carbon dioxide
EtN2O
End-tidal nitrous oxide
EtO2
End-tidal oxygen
EVLW
Extravascular lung water
ELWI
Extravascular lung water index
Exp%
Inspiration termination level
Exp. Flow
Expiratory flow
Exp. MAC
Expired minimum alveolar concentration
f
Breath rate
fapnea
Breath rate for apnea ventilation
fCMV
CMV frequency
FEV1.0%
First second forced expiratory volume ratio
FG
Fresh gas flow
Fi
Fraction of inspired
FiAA
Inspired anesthetic agent
FiAA 2nd
2nd Insp. Agent
FiCO2
Fraction of inspired carbon oxygen
FiN2O
Fraction of inspired nitrous oxide
FiO2
Fraction of inspired oxygen
FiDes
Inspired anesthetic agent
FiSev
Inspired anesthetic agent
FiEnf
Inspired anesthetic agent
FiIso
Inspired anesthetic agent
FiHal
Inspired anesthetic agent
fmand
Mandatory breathing frequency
FRC
Fractional residual capacity
FreqMIN
Minimum breath frequency
fSIMV
Frequency of SIMV
C-4
DPM Central Station Operator’s Manual
ABBREVIATION
DEFINITIONS
fsigh
Sigh rate
fspn
Spontaneous breathing frequency
ftot
Total breath rate
F-Trigger
Inspiratory trigger level (flow trigger)
FV
Flow-volume
GEDV
Global end diastolic volume
GEDI
Global end diastolic volume index
GEF
Global ejection fraction
HAL
Halothame
Hb
Hemoglobin
Hct
Haematocrit
HR
Heart Rate
IBP
Invasive brood pressure
IBW
Ideal body weight
ICP
Intracranial pressure
ICU
Intensive care unit
ID
Identification
I:E
Inspiratory time: Expiratory time ratio
IEC
International Electrotechnical Commission
Insp.Flow
Inspiration flow
Insp. MAC
Inspired minimum alveolar concentration
△int.PEEP
Intermittent PEEP
Ins, INS
Inspired minimum
InsCO2
Inspired minimum carbon dioxide
IP
Internet Protocol
ISO
Isoflurane
ITBV
Intrathoracic blood volume
ITBI
Intrathoracic blood volume index
ITE
Information technology equipment
LAP
Left artria pressure
LCD
Liquid crystal display
LVD
Low voltage directive
M, Mean
Mean pressure
Mac, MAC
Minimal alveolar concentration
%MinVol
Percentage of minute volume to be delivered
MV
Minute volume
DPM Central Station Operator’s Manual
C-5
ABBREVIATION
DEFINITIONS
MVe
Expiratory minute volume
MVLEAK
Leakage minute volume
N2O
Nitrous oxide
N2O cyl.
N2O cylinder pressure
N2O Flow
N2O flow
N/A
Not applied
NIBP
Noninvasive blood pressure
NIF
Negative inspiratory force
O2
Oxygen
ΔO2
Difference between inspiratory and expiratory O2
O2CI
Oxygen consumption index
O2 cyl.
Oxygen cylinder pressure
O2 cyl.2nd
Secondary oxygen cylinder pressure
O2 Flow
O2 flow
oxyCRG
Oxygen Cardio-respirogram
P0.1
100 ms occlusion pressure
PA
Pulmonary artery
PA MAP
Mean pulmonary artery pressure
Pair
Air supply pressure
PaO2
Arterial oxygen level
PaCO2
Arterial carbon dioxide level
Papnea
Apnea pressure
Paux Mean
Mean auxiliary pressure
Paux Min
Minimum auxiliary pressure
Paux Peak
Peak auxiliary pressure
pArt-M
Mean artery pressure
pArt-D
Diastolic artery pressure
pArt-S
Systolic artery pressure
PC
Personal computer
pCVP
Central venous pressure
PeCO2
Mixed expire CO2 pressure
PEEP
Positive end-expiratory pressure
PEEP/CPAP
PEEP/CPAP
PEEPi
Intrinsic positive end-expiratory pressure
PEEPtot
Total PEEP
PEF
Peak expiratory flow
C-6
DPM Central Station Operator’s Manual
ABBREVIATION
DEFINITIONS
Phigh
Upper pressure level
PIF
Peak inspiratory flow
Pinsp
Pressure control level of inspiration
PIP
Peak inspiratory pressure
PLETH
Plethysmogram
Plimit
Pressure limit level
Plow
Lower pressure level
Pmax
Maximum airway pressure
Pmean
Mean pressure
Posm
Plasma Osmolality
Ppeak
Peak pressure
Pplat
Plateau pressure
PPV
Pulse Pressure Variation
PR
Pulse rate
PTP
Pressure time product
PS/2
Personal System/2
Psupp
Pressure support level
P-Trigger
Inspiratory trigger
level(pressure trigger)
PVCs
——
PVPI
Pulmonary vascular permeability index
Ramp
Ramp
RAP
Right atrial pressure
RAW
Airway resistance
RCexp
Expiratory time constant
RCinsp
Inspiratory time constant
Re
Expiratory resistance
RESP
Respiration
Ri
Inspiratory resistance
RQ
Respiratory quotient
RR
Respiration rate
RSBI
Rapid shallow breathing index
SaO2
Arterial oxygen saturation
SEF
Spectral edge frequency
SerNa
Serum sodium
SV
Stroke volume
DPM Central Station Operator’s Manual
C-7
ABBREVIATION
DEFINITIONS
SVI
Stroke volume index
SvO2
Mixed venous oxygen saturation
ScvO2
Central venous oxygen saturation
SVR
Systemic vascular resistance
SVRI
Systemic vascular resistance index
SVV
Stroke volume variation
SEV
Sevoflurane
SpO2
Arterial oxygen saturation from pulse oximetry
SQI
Signal quality index
SR
Suppression ratio
S, SYS
Systole/systolic
TB
Temperature of blood
TCP/IP
Telecommunication Control Protocol/Internet Protocol
tcpCO2
Transcutaneous carbon dioxide partial pressures
tcpO2
Transcutaneous oxygen partial pressures
TEMP
Temperature
Texp
Expiratory time
Thigh
Time for the upper pressure level
TI
Temperature of Injectate
Ti max
maximum inspiration time
Tinsp
Time of inspiration
Tip
Inspiratory pause time
TIP:TI
Percentage of inspiratory plateau time in inspiratory time
Tlow
Time for the lower pressure level
TP
Total power
TRC
Tube resistance compensation
Trig Window
Trigger window
Trigger
Trigger sensitivity
Trise
Rise time
Tslope
Time for the pressure to rise to target pressure
TV
Tidal volume
Ucr
Urine creatinine
Uosm
Urine osmolality
UPS
Uninterruptible power supply
URK
Urine potassium
URNa
Urinary sodium
C-8
DPM Central Station Operator’s Manual
ABBREVIATION
DEFINITIONS
USB
Universal serial bus
V
Precordial lead
VAC
Volts alternating current
VCO2
CO2 production
Ver
version
VO2
Oxygen consumption
VO2/kg
Oxygen consumption per body weight
VO2/m2
Oxygen consumption per body surface area
VO2I
Oxygen Consumption Index
VT
Tidal volume
VTapnea
Apnea tidal volume
VTe/TVe
Expiratory tidal volume
VTe spn
Spontaneous breathed minute volume
VTi/TVi
Inspiratory tidal volume
VTsigh
Sigh tidal volume
WOB
Work of breathing
WOBimp
Imposed work of breathing
DPM Central Station Operator’s Manual
C-9
C.4 Formulas
Drug Calculations
Abbreviation and Unit
Description
Formula
Conc. (mcg/ml, mg/ml,
g/ml, units/ml, k units/ml,
m units/ml or mEq/ml)
Concentration
AMOUNT / Liquid Volume
DOSE/hr (mcg, mg, units,
k units, m units or mEq)
DOSE/hr
Infusion Rate × Conc.
DOSE/min(mcg, mg, units,
k units, m units or mEq)
DOSE/min
(DOSE/hr)/ 60
DOSE/kg/hr(mcg, mg,
units, k units, m units or
mEq)
DOSE/kg/hr
(DOSE/hr) / kg
DOSE/kg/min(mcg, mg,
units, k units, m units or
mEq)
DOSE/kg/min
(DOSE/hr) / kg / 60
Drip Rate (GTT/min)
Drip Rate
(Infusion Rate × Drop Size)/ 60
Duration (hr)
DURATION
Liquid Volume / Rate
Description
Formula
BSA (m )
Body Surface Area
Wt 0.425 × Ht 0.725 × 0.007184
CI (L/min/m2)
Cardiac Index
C.O. / BSA
SV (ml)
Stroke Volume
C.O. / HR × 1000
SVI (ml/m2)
Stroke Volume Index
SV/ BSA
SVR (DS/cm5)
Systemic Vascular
Resistance
79.96 ×(AP MAP - CVP)/
C.O.
SVRI (DS m2/cm5)
Systemic Vascular
Resistance Index
SVR × BSA
PVR (DS/cm5)
Pulmonary Vascular
Resistance
79.96 ×(PA MAP - PAWP)/
C.O.
PVRI (DS m2/cm5)
Pulmonary Vascular
Resistance
PVR × BSA
LCW (kg-m)
Left Cardiac Work
0.0136 × AP MAP × C.O.
LCWI (kg–m/m )
Left Cardiac Work Index
LCW / BSA
LVSW (g-m)
Left Ventricular Stroke Work
0.0136 × AP MAP× SV
LVSWI (g-m/m2)
Left Ventricular Stroke Work
LVSW / BSA
Hemodynamic Calculations
Abbreviation and Unit
2
2
C-10
DPM Central Station Operator’s Manual
Index
RCW (kg-m)
Right Cardiac Work
0.0136 × PA MAP × C.O.
RCWI (kg-m/m2)
Right Cardiac Work Index
RCW / BSA
RVSW (g-m)
Right Ventricular Stroke
Work
0.0136 × PA MAP × SV
RVSWI (g-m/m2)
Right Ventricular Stroke
Work Index
RVSW / BSA
EF (%)
Ejection Fraction
100 × SV / EDV
Description
Formula
PAO2 (mmHg)
Alveolar Oxygen Level
FiO2 / 100 ×(ATMP - 47)-
PaCO2 ×(FiO2 / 100 + (1-
FiO2 / 100) / RQ )
AaDO2 (mmHg)
Alveolar-arterial Oxygen
Difference
PAO2 - PaO2
Pa/FiO2 (mmHg)
Oxygenation Ratio
100 × PaO2 / FiO2
a/AO2 (%)
Arterial to Alveolar Oxygen
Ratio
100 × PaO2 / PAO2
MV (L/min)
Minute Volume
(TV × RR)/ 1000
Vd (ml)
Volume of Physiological
Dead Space
TV ×(1 - PeCO2 / PaCO2)
Vd/Vt (%)
Physiologic Dead Space in
Percent of Tidal Volume
100 × Vd/TV
VA (L/min)
Alveolar Volume
(TV- Vd) × RR / 1000
Abbreviation and Unit
Description
Formula
URNaEx (mmol/24h)
Urine Sodium Excretion
Urine × URNa / 1000
URKEx (mmol/24h)
Urine Potassium Excretion
Urine × URK / 1000
Na/K (%)
Sodium Potassium Ratio
100 × URNa / URK
CNa (ml/24h)
Clearance of Sodium
URNa × Urine / SerNa
Clcr (ml/min)
Creatinine Clearance Rate
Ucr × Urine / Cr / (BSA / 1.73) /
1440
FENa (%)
Fractional Excretion of
Sodium
100 ×(URNa × Cr ) / (SerNa ×
Ucr)
Cosm (ml/min)
Osmolar Clearance
Uosm × Urine / Posm / 1440
CH2O (ml/h)
Free Water Clearance
Urine × (1-Uosm / Posm)/ 24
U/P osm
Urine to plasma osmolality
Uosm / Posm
Ventilation Calculations
Abbreviation and Unit
Renal Calculations
DPM Central Station Operator’s Manual
C-11
ratio
BUN/Cr
Blood Urea Nitrogen
Creatinine Ratio
1000 × BUN / Cr
U/Cr
Urine-Serum Creatinine
Ratio
Ucr / Cr
Abbreviation and Unit
Description
Formula
VO2 calc (ml/min)
Calculated Oxygen
Consumption
C(a-v)O2× C.O.
C(a-v)O2 (ml/L)
Arteriovenous Oxygen
Content Difference
CaO2 - CvO2
O2ER (%)
Oxygen Extraction Ratio
100×C(a-v)O2/ CaO2
DO2 (ml/min)
Oxygen Transportation
C.O. × CaO2
PAO2 (mmHg)
Alveolar Oxygen Level
FiO2 / 100 ×(ATMP - 47)-
PaCO2 ×(FiO2 / 100 + (1-
FiO2 / 100) / RQ )
AaDO2 (mmHg)
Alveolar-arterial Oxygen
Difference
PAO2 - PaO2
CcO2 (ml/L)
Capillary Oxygen Content
Hb × 1.34 + 0.031 × PAO2
Qs/Qt (%)
Venous Admixture
100× [1.34 × Hb × (1-SaO2 /
100) + 0.031× (PAO2 -
PaO2)] / [1.34 × Hb × (1-SvO2 /
100) + 0.031× (PAO2 -
PvO2 )]
C.O. calc (L/min)
Calculated Cardiac Output
VO2 / (CaO2 - CvO2 )
Oxygenation Calculations
C-12
DPM Central Station Operator’s Manual
P/N: 046-005011-00 (3.0)
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