Central Monitor System Software

Catalogue

1 Preface................................................................................................................................................. 1
1 .1 Caution.....................................................................................................................................1
1 .2 Manipulator Obligation.......................................................................................................... 1
2 General Introduction to Software..................................................................................................... 2
2 .1 General Introduction to Aim..................................................................................................2
2 .2 Function................................................................................................................................... 2
3 Main Technical Index..........................................................................................................................3
3 .1 Dimension and Weight.......................................................................................................... 3
3 .2 Working Conditions................................................................................................................3
3 .3 Performance Index.................................................................................................................3
3 .4 Network Performance Index.................................................................................................4
3 .5 Printer Performance Index....................................................................................................4
4 System Configuration Demand........................................................................................................ 5
5 Function Instructions.......................................................................................................................... 6
5 .1 Main Monitoring Interface..................................................................................................... 6
5 .2 Key Observation – Patient Information Interface............................................................11
5 .3 Single Bedside Monitor Instruction................................................................................... 12
5 .4 Operation Introduction to Waveform Review.................................................................. 17
5 .5 Trend Review Instruction.................................................................................................... 21
5 .6 Alarm Review Instruction.................................................................................................... 26
5 .7 CO Review............................................................................................................................ 29
5 .8 NIBP Review.........................................................................................................................31
5 .9 Display setting instructions.................................................................................................32
5 .10 History Review － History Patient List and Inquiry.....................................................34
5 .11 History Review－ Medical History Amendatory Interface...........................................36
5 .12 History Review － Other Reviews.................................................................................37
5 .13 Instructions to System Setting......................................................................................... 37
5 .14 Help Operation Instructions............................................................................................. 44
5 .15 Printing Function Introduction..........................................................................................45
5 .16 Alarm Management........................................................................................................... 45
5 .17 Central Monitor System Conglomerate (Interior Crunode Data Transmission)...... 48
6 Whole Set of Complete Accessories............................................................................................. 50
7 System Network Configuration.......................................................................................................51
8 Appendix.............................................................................................................................................52
8 .1 Waveform and Parameter Monitored by this System.................................................... 52
8 .2 TCP/IP Transfer Control Protocol......................................................................................53
8 .3 Dual-screen Display Configuration................................................................................... 54

I
1 Preface

You are welcome to use Central Monitor System Software ("this system" or "this product" is called for
short hereinafter). the latest edition, works well in Microsoft Windows XP, of which the free interface
and ways of operation will bring you much convenience during your work.
This specification includes all the functions and operation flow, some usual questions and detailed answers
offered.
Please read the specification carefully before using this product to smooth your usage .
Thanks for using products and look forward to your valuable suggestions and advice.

1 .1 Caution
Before usage, please be aware of safety and validity stated below:
 The system should be used under doctors' guide.
 The reliability of the product depends on whether the operation and maintenance are properly done.
 Warning: system errors may arise if non-proper accessories are replaced; therefore, any maintenance
men who haven't been trained in our company or normal maintenance organization should not maintain
this system.

1 .2 Manipulator Obligation

Caution: please read the user manual carefully before usage.

1．Our company will resolve any software and hardware problems of the product in one year after your
purchase with the precondition of proper usage of it.
2．Responsible for users' training.
3．Responsible for free update and life maintenance of the software.
4．Responsible for free maintenance of hardware after your purchase.
5．Not responsible for damage caused by improper usage or non-fixed accessories usage.

1
2 General Introduction to Software

2 .1 General Introduction to Aim

The system, the center of the monitors network, can be networked to many kinds of monitors. It can collect,
deal with ,analyze and output the information from the multi-monitors to realize concentrative monitor
with much force of lightening the huge burden of doctors and improving the monitory work.

2 .2 Function
Central Monitor System Software , the monitor assistant, has some functions below:
a. Up to 64 bedside monitors connectable
b. Display of holographic waveforms of the view bed of single bedside monitor; display of
ECG,RESP,CO2,PLETH,IBP waveforms and so on.
alarm manage: parameter alarm events for each bedside monitor; S-T segment alarm events; arrhythmia
alarm events
c. Alarm prompt modes :sound and light wave.
d. Storage and review of 24-hour and 64-lead holographic waveforms
e. Storage and review of up to 240-hour trend data for each bedside monitor
f. Storage and review of u to 720-item alarm events for each bedside monitor
g. Review of five parameters and 6 minutes short trend for each bedside monitor
h. All the review information will be stored under off-state
i. Display of continuous multi-lead ECG and single-lead arrhythmia analysis for each bedside monitor.
j. Trend records and alarm records can be output according to certain format.
k. Patient information management: receive, cancel, input and educe
l. 10,000 history patient information management: inquire, scan, maintain.
m. Central Monitor System gather function: relying on the data transmission ,the system has the
capability that in different position could simultaneously monitor the bedside monitors in the courtyard
n. All-round system help information including operation guide of this system and bedside monitor.
o. Multi-language display interface
p. Support screen (dual- screen display),laser printer, and sound output equipment
q. Support keyboard and mouse input

2
3 Main Technical Index

3 .1 Dimension and Weight

Mainframe dimension: 600 mm * 600mm * 400mm
Mainframe weight: 17.7kg
Display dimension: 594mm * 574 mm * 537 mm
Display weight: 20kg
Printer dimension: 335 mm * 312 mm * 228 mm
Printer weight: 7 kg

3 .2 Working Conditions
Temperature
Working 0 to 40 ℃
Transmit and store -20 to 60 ℃
Humidity
Working <= 80 %
Transmit and store <= 90 %
Altitude
Working -500 to 4,600m ( -1,600 to 15,000 ft)
Transmit and store -500 to 13,100m( -1,600 to 43,000ft)
Electric specification
AC 100-127/200-240 V 7A/4A
Applicability
Non patient area
Warning
Proper input pressure must fit the pressure indication of power supply, or else the machine will be
seriously damaged.

3 .3 Performance Index
Display: High-resolution 1024 * 768, 65536 color, optional LCD display
Language: Chinese and English
Indicator:
Waveform vision:2 path waveforms each bed , key bed observed extend to 12 path
Alarm indicator light
Mainframe indicator light
Interface:
Power supply input receptacle
Two serial interfaces
One parallel interface
Two USB interfaces
One RJ-45 network interface

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 One keyboard interface
One PS/2 mouse interface
Sound output interface
Mic input interface
Trend time
240 hours trend display for each bed
6 minutes short trend dynamic display for each bed
Alarm
Parameter alarm
S-T segment alarm
Arrhythmia alarm
Technical alarm
Audible and visual alarm with alarm range setting
Waveform storage
Storage and review of 24-hour, 64-path holographic waveforms

3 .4 Network Performance Index

Configuration: Ethernet 802.3
Transmission speed: 10M , 100 M
Joint: RJ-45
Transmission content: waveforms, parameters, alarm events of all the networked bedside
monitors
Category of networked bedside monitor: all bedside monitors suitable to protocol
Quantity of the networked bedside monitors: 64 beds

3 .5 Printer Performance Index

Type HP LaserJet 6L Gold
Resolution 600DPI * 600DPI
EMS memory 1 MB
Interface IEEE 1284 Parallel port
Printing speed 6 pages/m
Printing paper A4

4
4 System Configuration Demand

CPU: Pentium IV 1.8G or advanced

Operating system: Microsoft Windows XP
EMS memory: upwards of 256M
Main board: main board of Intel CMOS chip group recommended
Hard disk: 40G or upwards
Display screen: 17 inch or larger
Display: resolution 1024*768;24 digit or more
Display Card: 64M or upwards
Audio device: a pair of sound boxes with power supply
Network: 802.3 network controller connected by 10Base –T
Printer: 600dpi laser printer, printing paper A4
CD-ROM: 24 multiple or advanced CD-ROM (or choose CD memorizer)
Type font: normal
Others: two serial interfaces; one parallel interface; one USB2.0 interface

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5 Function Instructions

After the first startup of the program ,enter the main interface Double click the left key of the mouse in a
certain bed area, then enter the key observation function for the corresponding bed. several operation
interfaces(modules) as follows:
1．patient information 2．single bed observation 3．waveform review 4．trend review 5．alarm review 6．CO
review 7．NIBP review 8．display setting
Users can review history , set the system and examine help information via the menu of the main interface.
Detailed function specification of each module as follows.

5 .1 Main Monitoring Interface

The system will enter automatically the main interface after first startup. Three parts make up of the main
interface, as follow charts (processed charts, not firsthand ), District A above the screen shows system
prompt information (Part 1,2,3) and control icon (part 4), District C shows information of 64 beds (part 7)
and system menu (part 6), District B in the middle is main monitoring screen district, and default consists
of 8 patient information sections (part 5). Users can also adjust the default 2,4,8,16 sections.

Graph 5.1 Main Screen Framework

Introduce the composing Parts as follows:

6
System Prompt Information.

Part 1, 2,3, in District A of Picture 5.1 shows this product name ,startup time and current time respectively,
which can't be operated by users.

Control Icon

Four parts on the right hand of district A in Chart 5.1 are control icon parts, which show black and white.
When user puts the mouse on the icon, the corresponding ones will change into colors Users can obtain
different functions by mouse click.
Functions as follows:

Icon Function

or Show the last bed group

or Show next bed group

or Restore the recorder

Adjust alarm volume; a cross will appear on the

or icon if stillness is selected.

or Start/stop the alarm hang

or Close the system

Main Screen Section

Section B in Chart 5.1 consists of 8 patient information section.(part 5 shows one patient information
section ).As follow chart:

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In the blue section (color blue means alarm signal appears and black no alarm. The background color can
be set up in system setting. ), section D on the left hand shows waveforms, section E on the right hand
shows parameters. the meaning of other parts as follows:
 8: Red character is the serial number of this very section in 64 sections and link state; unlink bed is

gray. The buttons will appear when waveforms are stable.

 9: With the level of alarm prompt from high to low, the background color is red, orange and yellow in
turn. Orange section in last icon means the secondary alarm. No alarm, no color section.
 10: This is a button, when clicking it, system will show single bed observation view (see single bed
observation view) ; The same function can be achieved by double clicking other sections in above diagram.
 11: This control bar controls displaying and hiding waveform, waveform will be hided when click it,
Section E will zoom in and cover Section D; Waveform will be display when click it again.
 12: Pop-up menu by right clicking.

This menu will be showed when right clicking waveform area in D section. Functions listed in below
chart:

Menu Item Function

8 seconds record Print 8 seconds wave
16 seconds record Print 16 seconds wave
Series record Print continuously
Stop record Stop print
Freeze record All waves in the section stop. Among this four buttons

in top left corner, the first two one are for moving

time sect, the third one is for canceling freeze, the 4th one is for
print.
review Enter review interface
Clear background Erase alarm back color
Amplify wave Amplifying waveform swing, make a waveform more clear; wave
could be amplified many times.
Shrink wave Dwindling waveform swing, canceling amplifying waveform.

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 13: Pop-up menu by right clicking;

This menu will be showed by right clicking a parameter area in Section E. It is used to set the alarm on-off,
when alarm is off, icon 13-1 will be displayed in relative parameter area.

 13-1: Icon , when alarm of a parameter is off, this icon will be displayed in the parameter area.
64-bed status information:

Diagram 5.1 left part of C section is 64-bed status information:

There are 64 total indicator lights indicating the status of each bed:
－black light on indicates the bed is not connected on line.
－red light flickering indicates the bed is connected and highest level alarm occurred.
－orange light flickering indicates the bed is connected and medium level alarm occurred
－yellow light flickering indicates the bed is connected and lowest level alarm occurred
－blue light flickering indicates the bed is connected and no alarm occurred
64 beds are divided into 8 groups in default set, every group contains 8 machines. This is not divided
medically, it is just for convenient use, e.g. one doctor is managing machines No. 1 to No. 8, the other

doctor could manage No. 9 to No. 16 at the same time. There , By clicking button or on the top
can achieve page up and page down for viewing 8-bed status display. For example, number 1-8 are

displaying on the screen at present, when clicking , beds number 9-16 will be displayed after page

down. And 17-24 will be displayed when click again and vice versa ; another way is achieving page
up and down by bed indicating button, take 8-bed status chose and bed number 1-8 displayed for example,
when clicking any bed indicating button from number 17-24, 17-24 bed machine will be displayed, when
clicking any bed indicating button from number 49-56, 49-56 bed machine will be displayed on the screen.
Central Monitoring Systems adopts this kind of method to transfer all the information collected from the
64 bed machines to display them group by group on the screen.
Notice 1: under multi-bed observation mode, when left-clicking the mouse on one group, the 8 beds
machine of this group will be displayed on the screen.
Under single (key) bed observation mode, left-clicking one bed indicating button to change the bed
Number to the indicating button.
(Double display and Multi-bed and single-bed mode chose at the same time, left-clicking a bed to
change single bed display, the bed number will be displayed accordingly, if multi-bed display mode

want to be chose, or should be used; under double display and only multi-bed observation
mode, left-click one bed to change the whole group.
Notice 2: when conducting 2 , 4, 8 or 16 bed observation, the bed machines will be divided to 32, 16,
8 or 4 groups according to the screen display.

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System Menu

The right part of the section c in Diagram 5.1 is System Menu. It contains five option:

Menu Function

Option for receiving patient, clicking for receiving data.

System Setup

History review

For Help and FAQ

Main review Menu.

Supplement

1．Below dialog box will be popped up by clicking :

Users can choose bed from No. 1-64 by using combo box (blue part), and then click "Admit Patient"
button to admit patient (add new patient record) or use "Dismiss Patient" button to dismiss patient (e.g.
patient leaves hospital) . For each patient of the relative bed, relevant bed number and button should be
chose. Click the close button to close the dialog box when operation completed.
This System can store 1000 records at most.
Notice: a, Dismiss patient after admit him or her for a period of time, this patient can become
history patient.
b, Patient data can not be record if the patient not admit, so for this patient, data review and
freeze waveform can not be achieved.
c. If there are also some patients that not dismissed when the system closed, the data of the

10
patients will no be recorded the restart the system next time. Doctor or Nurse should re-click

to decide continue admit, re-admit or dismiss these patients manually.

2．Left-click Main Review Menu , a submenu will be popped up, that will be 2,4,8,16 bed
observation from the top, click the submenu to enter 2,4,8,16 bed observation interface. Double click

, or after clicking but not click submenu, instead to click other area on the
screen, last observation interface will be resumed on the main screen, if 2-bed observation displayed last
time, it will be resumed.

3．
Notice: breviary chart of the main screen display will be showed in the left part of the submenu; bed
number correspondingly displayed with the submenu will be 2 times as before under double display
mode.

5 .2 Key Observation – Patient Information Interface

Patient information interface showed as followed:

Graph 5.2 on line patient information observation interface

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Users can check names and information of the on line patients and also can change case number.

Users can input doctor name and remarks on the right part of the interface, click 『 』

button can store the new data to the database, click『 』 button to cancel the modification.
Notice: the interface can not be edit if no on line patient available on the bed machine.

5 .3 Single Bedside Monitor Instruction

The characters"the bed is not on line" will be showed in the central of the screen after entering the single
bed observation; if the bed is on line, there are 4 main sections on default set: waveform display section,
short trend line display section, parameter display section, alarm display section. There are 2 buttons in the
top left and top right area of the single bed observation, the top left button is for switching between
multi-lead ECG and normal waveform observation, top right button if for setting trend line on/off.
Diagram 5.3-1 is the interface when conducting normal waveform observation with trend line display,
Diagram 5.3-2 is the interface when conducting multi-lead waveform without trend line display.

Graph 5.3-1 The default operation interface for Sing-bed observation

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 Graph 5.3-2 The operation interface with multi-leads of ECG and none-trendline for single-bed

observation

Waveform Display Section

Under default state, it protracts relevant waveform in display area according to configuration files, if this
waveform is not exist, it's area will be set off according to existing waveform number, every waveform
have got its name on top left corner of this waveform.

Because of the importance of ECG parameter, this system provide comprehensive browse mode for ECG
parameter, which can assist doctor in diagnosis. This system provide waveform of seven leads: I, II, III ,
aVR, aVL , aVF, V, when you click switch button on left top corner, it will be switch from general
waveform to multi-lead, then this display area includes seven waveforms as figure: 5.3-2, click this button
again, it will be switch from multi-lead to general waveform as figure: 5.3-1.
The waveform in this system is based upon information from monitors, if the monitor does not provide
signal of seven lead, this system can not calculate relevant parameter. Multi-lead inspection requires the
monitors provide ECG data from 2 channels of different leads, and this data should be identical.

Display Section for 6-Minute Short Trend Diagram

This six minutes brief treadline is in top right corner of screen, which displays trend of relevant parameter
in 6 minutes, these parameters are consistent with parameters on its right side. User can click button on top

13
right corner of interface, which can switch the trendline between conceal and display.
Brief trend can memory and display average of parameters every 2 seconds, which is more accurate, more
timely reflect change of relevant signals. If the divided monitor does not provide relevant parameters, the
systems can not display relevant brief trend of parameters, and adjust number and position of brief trend
automatically.

Graph 5.3-3: Bief Tend Lne of 6 Mnutes

Parameter Display Section

This area includes two parts, the first five among all the parameters which connected currently are shown

at the right top corner in the interface, and these five parameter have five relevant area for display the

alarm higher and lower limit, user can select whether display alarm information by click right key or

double click of left key of mouse.

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 Graph 5.3-4: Parameter Display Area: Alarm on/Alarm off
If the quantity of parameter is more than five, the redundant parameters will be displayed in the down right
corner of the screen, if you choose brief trend review, 20 parameters can be displayed at the same time, if
not, only 10 parameters can be displayed. If any parameter causes alarm, you can find alarm notice at
relevant parameters entry.

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 Graph 5.3-5: Two kinds of display of other parameters

Graph 5.3-6 Alarm display to relevant parameter

Alarm Display Section

If this system connected with a patient monitor, which starts alarm, but user did not shield this alarm, a
information as following will be displayed in the upper center of screen. Its color represents alarm level.

Graph 5.3-7 Alarm Information

Button Appearance Button position the relevant state

top left corner of single bed when the general waveform be

inspection interface displayed in waveform area
top left corner of single bed when multi-lead ECG waveform be
inspection interface displayed in waveform area
top right corner of single bed the state under 6 minutes brief trend
inspection interface line be displayed
top right corner of single bed the state under 6 minutes brief trend
inspection interface line be concealed

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5 .4 Operation Introduction to Waveform Review
In the waveform review, every screen can display at most 5 waveforms of lately 24 hours. It also includes
parameter information at appointed time. If you need detailed information of any waveform, please choose
the waveform by double click on appointed waveform area. It includes waveform detail and parameters of
12 seconds, alarm information, in this column you can measure the space between waveform with
electronic caliper.

Main Interface of Waveform Review

Click button "Wave Review" you can enter wave review main interface. Which displays waveform
information according to page number, every page includes 12 seconds of waveform, there are 7200 pages
(24 hours) totally in memory. The main interface includes following area under default state:

Figure 5.4-1 waveform review operation interface

Introduction of above interface is as following:

(1) Waveform Display Section

The waveform be displayed according to user's selection. Every screen include at best five waveforms of
12 seconds, waveform name be displayed at top left corner of screen. In waveform display area includes
several triangles for orientation of appointed waveform. The appointed information be displayed at the
bottom of waveform display area.
You can select appointed waveform from 12 seconds of waveform by click left key of mouse, if the
parameter be displayed now, you can review the parameter information according to data file.
Click left key of mouse twice in waveform display area, a relevant waveform frame will be displayed

17
according to you're the position you click. The detailed operation waveform frame of is as following:

(2) Parameter Display Section

You can choose appointed parameter by "ShowPara" button, which located in central area of the buttons.

Graph 5.4-2 Parameter display area

(3) Orientation Bar and Prompt Information Section

This area includes an orientation bar, you can go to one page from page1 to page7200 by click the bar.
Under the bar it displays start time middle time and conclude time of retrospection, their sequence is from
left to right. It also displays page number under the time information.

Graph 5.4-3 orientation bar area

(4) Button Controlingl Section

This area includes buttons as following: Print, Record, Save As, ReviewSetup, Refresh, ShowPara,

AutoPlay and six direction keys. The direction keys includes: First page, last page, page up, page down.

The detailed information of the key as following:

Setting for the waveform review,

Fresh current window

Display the parameter area or not

Page down automatically

|<: Set current page as the first page

<<: Turn to page N ahead according to request.
<: Turn to front page
>: Turn to next page
>>: Turn to page N backward according to request.
>|: Set current page as the last page

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Waveform Review Setting

Click the button "ReviewSetup", then you can set up the waveform review. This setting includes following
items:

Graph 5.4-4 Wavefom review setting

(1) Wave select

Please select the waveform group, which is needed to be reviewed in this field. There are 4 groups of
selectable waveforms with the first 3 groups fixed and the 4th one user-defined. Then please select any
waveform which is needed to be displayed in 14 waveforms, but when more than 5 are selected there will
be only the first 5 selected waveforms displayed in the procedure.

(2) Select the Start Time

User please select the starting time of review here.

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(3) Option

User please set time internal of automatic page turning and page turning internal when turning pages.
Please press the button "Default" to recover the option of the dialog box to establish for recognizing the
setting, then press "OK" to save the setting in the configuration files. Please press "Cancel" to give up.

Waveform Banding Box

Please double-click the left mouse button in the waveform draws district of the waveform review interface,
then the process will establish banding box, which corresponds the waveform, in the waveform distinct
that the mouse double-clicked. Including the follows:

Diagram 5.4-5 Waveform banding box

(1) The waveform name, time length, speed, starting time, "Record" button, "Save" button, 4
waveform control buttons, blanking buttons.
(2) Waveform displays 12 seconds in waveform display district. Click the left mouse button in the
waveform district to go to 1 second waveform. The localization time information shows under the
waveform display district in the middle. Click the right mouse button in the waveform draws
district and drag along to move rightwards to measure the time difference between the clicking
position and the current position of the cursor with the ruler.
(3) Parameter display district shows some important parameter information of the current localization
time.

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 The functions of several buttons:

Print the 12 seconds waveform currently

displayed
<</>>: waveform 12 seconds forward or
backward moving button.
</>: waveform 1 second forward or backward
moving button.

5 .5 Trend Review Instruction

Trend Review Summarization

Trend is used to observe the change trend of the patient's certain physiology signal in a period. It is mainly
used for assistant analysis of the condition of an illness. The trend usually takes 1 minute as unit of account,
that is, that each parameter brings an average value in one minute denotes the trend value of this parameter.
It usually can be reviewed with trend draw and trend diagram.
Trend group/category
Trend group means to organize the associated parameter of physiology properly and provide the user more
integrated information of a certain physiologic index aspect.
The definition of trend group:
1. Vital signals: including the parameters of HR, SP02, NIBP, RR, TEMP.
2. ST changes: including HR, ST-Ⅰ/Ⅱ, RR, SP02, PVCS.
3. Hemodynamics: IBP1, IBP2, IBP3, IBP4, HR.
4. GAS: AA, AwRR, N20, 02, CO2Et.

Main Interface of Trend Review (Trend Graph)

Please clickbutton『Trend Review』in single bed or history mode, then enter the trend review interface. The
recognizing state is trend gram operation:

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 Diagram5.5-1 Trend Review Operation Interface (trend Graph)

Instructions as follows:

Trend Graph Summarization

Trend gram is to turn the trend statistics sketch to embody the trend of a certain parameter numerical value
more. It will show trend waveform which is needed to review according to the user's choice, and every
screen can show trend waveforms of 5 parameters at most at the same time. There is a moveable dynamic
glide in the waveform display district. Drag it to the named position, and then the corresponding trend
numerical value will be shown at the parameter display district.

Three Methods of Trend Graph Display

1. Continuous
Monodromy continuity, a colorized ploy-line, such as HR.
2. Non-periodic
Discontinuous parameter, such as NIBP.
3. Many parameters
To display with separated poly-lines, every poly-line shows color with corresponding parameter, to
display the name of parameter and corresponding numerical value with same color, such as ST1, ST2.

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Trend Graph Instruction

1. Please review the specified bed's trend gram's information through choosing bed number.
2. The trend gram can be printed and output. Please click "Print" button to print the current screen with a
length of one page.
3. Please choose a trend group that is needed to be observed in the "Select trend group", and then the
corresponding trend group parameter will be shown in the parameter diagram on the left side of the screen.
4. Please choose the parameter which is needed to be shown in this parameter group in the parameter
diagram on the left side of the screen with 『 』as a checked state, and then the corresponding trend
group parameter will be shown in the parameter diagram on the left side of the screen.
5. Please choose the time length of reviewing in "select review time". There are 8 choices, including 12
hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, 168 hours, 240 hours from the current time.
6. Please choose resolution ratio of the waveform in "select resolution ratio". The time segment which is
shown by the waveform data in every page can be changed through choosing resolution ratio.

D. 5.5-2 Parameter D.5.5-3 Select Setup of Review Time

In Parameter Diagram Segment, Trend group, Resolution Ratio
7. Please click the button "set time" (D.5.5-4) to set the starting time of review of the trend review, for
instance, set 9: 19:00 2006/8/7 as the starting time of review, 240 hours as the select review time segment,
1 minute as the resolution ratio, and then all the trend information from 9: 19:00 2006/8/17 to 9:18:00 can
be reviewed.

D.5.5-4 Set Starting Time of Review

8. Please click the button『 』to get the trend data before the current clicking time.

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9. Please click the button "Trend Table" 『 』 to observe the specified data value of the
current trend gram shown on the screen.
10. Please click and drag the triangle glide piece to the named position at the glide area, and then the
corresponding trend data will be shown at the parameter area of the trend gram.

11. Please click 『 』down at the right side of the screen, and then you can turn over
page forward or backward and go to the first or the last directly as well.

Trend Table

Please click the button 『 』down at the screen in the trend gram interface to go to the trend
table operating interface. Shown as follow:

Trend Table Summarization

Trend table is to organize data to do trend review by way of tables, through which you can check the
specified parameter data value of every minute. The trend table can be printed as well.
What the trend table shows is the corresponding parameter value of the trend gram review; every line from
left to right is: serial number, each parameter value and the corresponding measurement time. You can

24
change the data unit in the system setting. Number serial is only used to count and has nothing to do with
data value.

Trend Table Instruction

1. Please click the button『 』to reset the review of starting time which is shown at "Query
Time" down in the left side of the screen. You can also choose the time length and resolution ratio of the
review through two buttons "select review time" and "select resolution ratio" to adjust the data shown in
the trend table;
2. The trend table also has the function of turning over pages. There are 240/12 = 20 pages in total under
the recognizing situation. The specified time segment in the current page will be shown above the list.
3. Please print the data according to your need. The trend table can be printed and output while users can
print the current screen with a length of 1 page by clicking the "print" button.

4. Please click the button 『 』to observe the trend line.

5. The review time segment of the current page is shown on the top of the trend table.

6. Please check the page number of the current trend table page through 『 』down at the
right side of the trend table. And you can also input the page number directly and then press "enter" to
jump to the named page.

Corresponding Functions of Each Button and Each Option in Trend Review

Renovate the data display according to the user parameter

Enact the starting time of review (Query Time) .

To the first page.

To the last page.

To the next page.

To the final page.

Print the page.

Shift to the trend table.

Shift to the trend gram.

25
 Enact the displayed parameter group.

Enact the resolution ratio.

Enact the length of the starting time of review.

In the trend table, the page number and total pages are shown. User can
input page number directly and press enter to jump to the named page.

5 .6 Alarm Review Instruction

The system brings the alarm band when making secondary announcement to the alarm information of the
bedside monitor, which can make the clinician observe the details more specifically. The band shows data
of 12 seconds. The alarm band reflects two relating waveforms 8 seconds before and 4 seconds after the
alarm time as well as the trend line of 1-3 relating parameter 960 seconds before the alarm. The band can
be record and printed.
The alarm review interface mainly includes the alarm band list, the alarm review setting operation area, the
special alarm band specific description area. As Diagram 5.6-1 shows:

D.5.6-1 the Alarm Review Operation Interface

26
Bar Table for Alarm

The alarm band list is up at the left side area of the alarm review interface. It shows all the alarm band
information of alarm level which accords with that is needed to query within the time range enacted by the
user according to the time order of the alarm, including the alarm time, types, level, code, and information
of the band. When entering the alarm review interface which is under the recognizing state, the first piece
of record in the list box is set to be picked state. User can click the corresponding entry in the list to choose
alarm band which is needed to be checked as needed.
There is an orientation glide under the list box, through which user can know what kind of alarm event
happens at what time roughly. User can click any area in the orientation glide by mouse, and then the list
will roll to the nearest alarm band record automatically in order to be easy for the user to choose.

Setting and Operation

The right side of the alarm band list is the alarm review setting and operation area, including the set of
alarm band level and time segment that are needed to be reviewed, starting time of review (the alarm event
in a certain time segment before the time). User can also save, delete, record the picked alarm band, refresh
the alarm review interface to get the latest alarm events, and do the operation of printing the band list and
alarm band.

Operation to be carried out:

Choose alarm level that is needed to check

Select review time segment

Set starting time of review

Refresh alarm review interface to get the latest

alarm information

Print alarm list

Print alarm band

27
Special Alarm Bar Specification

Under the alarm review is the special alarm band specific description area, which can offer 2 waveforms
data of 8 seconds before and 4 seconds after the alarm, trend data in the latest 960 seconds of 1
corresponding parameter and numerical value information of some other important parameter at alarm time.
It can also offer calipers to measure the space between of the waveform. Information like names of two
waveforms and the alarm code, position of the band and speed shown by the band waveform is displayed
at the bottom of this area.

D.5.6-2 Alarm Band Detailed Description Area

Operation Instructions

The specific ways of operation after entering the alarm review interface:
1. Please enter the alarm review interface of the certain bed through choosing bed number.

2. Alarm band and alarm list can both be printed and output. Please click 『 』button to

print the alarm information list on the current review interface and click 『 』button to
print the current picked alarm band, including 2 waveforms and numerical value information of other
important parameter of alarm time.
3. Alarm band can be recorded and output. Please click "record" to print, and the length is 12 seconds.
4．Uses can select the alarm categories needed observation in "select alarm type"

5．Users can select time length in "select review period". There are 8 choice: 24, 48, 72, 96, 120, 168 or
240 hours from present time.

28
6．Users can set alarm review time by clicking " " button.

7．Users can acquire present new alarm information by clicking " " button. The review
will stop when Refresh is clicked.
8．The result by users inputing alarm categories and review time will show on the bottom of the display
together with present alarm in the result.
9．The waveform name and 960-second trend description will show on the bottom of the display.
10．All parameters in alarm period will show on alarm strip.
11． Users can measure the waveform in alarm strip with calipers. Click the right key of the mouse and
daggle from the beginning to the end of the measurement, snd the system will show the measurement time
of waveform.

5 .7 CO Review

General Introduction

This system has separate review function for CO, which can review 240-hour CO record of appointed
patient (24 hours for patients checked before ) in sinfle-bed mode.

Users can enter CO review interface by clicking " " under single-bed or history mode:

29
 Graph 5.7 COReview
User operation
The list shows CO data within 240 hours acquiescently; from left to right of the line: serial number, CO
value, TB (temperature of blood) value and corresponding measurement time. Data unit can be changed in
system setting. Serial number is used for taking count and has nothing to do with data value.

 Users can select time beginning and length; Users should click " " after correct if just
want to change the length of the time period.
 Each page (list) only shows data within 12 hours actually regarding data ammount; page up/down
function is supplied at the same time. Time period could be advanced or traced back 12 hours, in all
240/12 = 20pages acquiescently. The specific time period is displayed on top of the list.
 Users can print the 12-hour data in present page as needed; patient information will also be printed.

Operation Instructions

The corresponding function of all buttons and options is the same as NIBP review:

Update data according to users parameter

Set the beginning time of the review

Hours Set the time length of the review

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 To the first page

To the former page

, or ←

To the next page

, or →

To the last page

Print this page

Display the page number and total pages. Users can input the
page number and click enter to the right page

5 .8 NIBP Review

General Introduction

This system has separate review function for NIBP, which can review 240-hour NIBP record of appointed
patient (24 hours for patients checked before ) in single-bed mode.

Users can enter CO review interface by clicking " " under single-bed or history mode:

Graph 5.8 NIBP Review

31
Operation Instructions

The list shows NIBP data within 240 hours acquiescently; from left to right of the line: serial number,
contraction pressure, diastole pressure and corresponding measurement time. BP unit can be changed in
system setting. Serial number on left is used for taking count and has nothing to do with blood pressure
value.

 Users can select time beginning and length; Users should click " " after correct if just
want to change the length of the time period.
 Each page (list) only shows NIBP data within 12 hours actually regarding data ammount; page
up/down function is supplied at the same time. Time period could be advanced or traced back 12
hours, in all 240/12 = 20pages acquiescently. The specific time period is displayed on top of the list.
 Users can print the 12-hour data in present page as needed; patient information will also be printed.

The corresponding function of all buttons and options is as follows:

Update data according to users parameter

Set the beginning time of the review

Set the time length of the review

To the first page

To the former page

, or ←
To the next page
, or →
To the last page

Print this page

Display the page number and total pages. Users can input
the page number and click enter to the right page

5 .9 Display setting instructions

Display setting includes single-bed and multi-bed observation. The interface is as the following graph:

32
 Graph 5.9-1 Display setting interface

Single-bedside Display Setting

Single-bedside observation setting lists 14 waveforms for users to select. If the waveform is selected and
this bed transfers the waveform data, the waveform will displayed when observing this bed. Users can set
the wave speed and plus effect after selection.

Graph 5.9-2 Single-bedside observation display setting

Multi-bedside Display Setting

Multi-bedside observation setting groups parameter display. Users can set which group of parameters to be
displayed. Each bed could display 4 waveforms at most. Users can select waveforms to display and set
corresponding wave protracting speed and plus effect.

33
 Graph 5.9-3 Multi-bedside observation display setting

Button

Preserve the setting

Default setting

Use present setting to all beds

5 .10 History Review － History Patient List and Inquiry

General Introduction

History data mean information of patient who has used this system before will be reserved if "patient
release" is select when the patient leaves the hospital. The system could reserve history data for 10,000
patients; the data include parameter information one day before the patient's leave and recent 50 alarm
issues.

History data review allow users to inquire according to patient name, medical history number, principal
physician and diagnosing content. Medical history number is distributed by hospital for patient when he
comes for the treatment. It is unique. For example, the patient named "Jack" may be not only one, but the
patient having the medical history number "20060616001" is only one. This system adopts fuzzy inquiry
for convenience, that is, users can check the patient information in smaller extension after listing the
records which include the demanding qualification.

Interface of history data review is as follows:

34
 Graph 5.10 History review interface

Instructions to History Data Review

1．Users can set patient name, medical history number, physician name or diagnosing content as inquiry
terms. If several terms are input, system will pick out the patients who meet all demands
.
2．Users click "Query" button to inquiry all records that meet the demands and will be listed in "Inquiry
result" which lists separately patient name, medical history number, time to leave hospital, principal
physician name and diagnosing result.

3．Users can click "Delete" to delete the chosen records permanently.

4．Click "View" or dbclick chosen information in list. When interface changes to "Medical history rework
interface", the red font on upper left of the interface shows it is history review presently and the patient
name is XXX; all data are corresponding to the chosed history patient.

Please refer to History patient information for means to input patient data.
Attention: when turning to interface of history patient list, patient reviewed presently doesn't change and
needs rechoose to change.

35
Instructions to button in the interface are as follows:
Inquire according to patient
information
Select patient information
in list
Update present list of
history patient
Delete chosen history
patient records in list
Print present history patient
list
Page up/dowm to desplay
more history patients

5 .11 History Review－ Medical History Amendatory Interface

Graph 5.11-1 Medical history amendatory interface

Since medical history information is reserved to database and unchangeable, it couldn't be amended
directly but add new instructions to the original one. The operation of this interface is similar with the
interface of patient information under concernful observation.
There are also enter and educe functions of history patient in the interface.

36
Educing Operation

Click " " to educe history data of present history patient (chosen from History patient list)
to some file, including PatientInfo.xml, HisAlarm and HisTrend. Users can shift the files to other central
stand to make entering operation by moving storage facility.

Entering Operation

Click " " to choose the file including patient data and enter. The red font on upper left of
the interface shows entering data and patient name is XXX; the data can be operated the same as history
patient data.

Graph 5.11-2 File for choosing data of Educing & Entering operation

5 .12 History Review － Other Reviews

Other reviews in history review are in line with single-bed (inportant) observation interface; please refer to
the corresponding parts:
 Trend review (Data within former 24 hours can be relieved in history review)
 Alarm review (Alarm data within 50 items before relieving can be reviewed in history review)
 CO review (Data within 24 hours before relieving can be reviewed in history review)
 NIBP review (Data within 24 hours before relieving can be reviewed in history review)

5 .13 Instructions to System Setting

General Introduction

There are three interfaces to carry out monitoring, accessory and maintenance settings.
 Monitoring Setup
It is mainly for general monitoring setting, such as alarm level of arrhythmia, choosing monitoring
parameter unit, setting means of alarm reference, etc.
 Accessory Setup

37
It is mainly for setting system facility, such as recorder, audio card, modem, etc. Users can do internet
setting in senior version.
 Maintain Setup
It is mainly for senior users and maintanence personnel. Password is needed to enter the interface in which
the following functions can be carried out: scan information, change languages, change password, change
system time, set hospital, etc.

Monitoring Setting and Producer Setting

User can enter setting window by clicking " " on lower right of the display. Monitoring
setting window is preset..

Monitoring setting window can be reached by clicking " ":

Graph 5.13-1 Monitoring setting interface

38
Instruction

Monitoring setting and producer setting Options as follows

Producer
Item Purpose Choosing scope
setting
Alarm silence Set time length of system alarm Manual 3 minutes, 10 minutes,
Duration Manual
Alarm Suspend Set time length of alarm 2 minutes 2 minutes, 3 minutes, 10
Duration hanging time minutes, permanent
Alarm Color Set time of setting reference 1 minute 1 minute, 3 minutes, 6
Screen hours
Arrhythmia Alarm Record when arrhythmia alarms Yes Yes, No
Record

ECG alarm record Record when ECG module Yes Yes, No

parameter alarms
RESP alarm record Record when RESP module Yes Yes, No
parameter alarms
SPO2 alarm record Record when SPO2 module Yes Yes, No
parameter alarms
TEMP alarm record Record when TEMP module Yes Yes, No
parameter alarms
IBP1 alarm record Record when IBP module Yes Yes, No
parameter channel 1 alarms
IBP2 alarm record Record when IBP module Yes Yes, No
parameter channel 2 alarms
IBP3 alarm record Record when IBP module Yes Yes, No
parameter channel 3 alarms
IBP4 alarm record Record when IBP module Yes Yes, No
parameter channel 4 alarms
NIBP alarm record Record when NIBP module Yes Yes, No
parameter alarms
CO2 alarm record Record when CO2 module Yes Yes, No
parameter alarms
C.O. alarm record Record when C.O. module Yes Yes, No
parameter alarms
GAS alarm record Record when GAS module Yes Yes, No
parameter alarms
ASYSTOLE Set ASYSTOLE alarm level High High, Medium
VFIB/VTAC Set VFIB/VTAC alarm level High High, Medium
TACHY Set TACHY alarm level High High, Medium
BRADY Set BRADY alarm level High High, Medium

39
 PVC Set PVC alarm level Medium High, Medium
RonT Set RonT alarm level Medium High, Medium
TPT Set TPT alarm level Medium High, Medium
COUPLET Set COUPLET alarm level Medium High, Medium
VT>2 Set VT>2 alarm level Medium High, Medium
BIGEMINY Set BIGEMINY alarm level Medium High, Medium
TRIGEMINY Set TRIGEMINY alarm level Medium High, Medium
PNP Set PNP alarm level Medium High, Medium
PNC Set PNC alarm level Medium High, Medium
PNF Set PNF alarm level Medium High, Medium
MTI Set MTI alarm level Medium High, Medium
BEAT MISS Set BEAT MISS alarm level Medium High, Medium
SPB Set SPB alarm level Medium High, Medium
IPB Set IPB alarm level Medium High, Medium
APB Set APB alarm level Medium High, Medium

Pressure Unit Set Pressure Unit mmHg mmHg, kPa

Temperate Unit Set Temperature Unit ℃ ℃, ℉
Alarm Color which will be updated for Blue
Background background color in patient
color division when the bedside
machine alarms

Monitor Setting Instructions

1．Users can set alarm mute, length of alarm hang and reference time of alarm background in all options of

" " scope.

2．Users can set the recording function of all parameters in " " and could do multiple
choice.

3．Users can set alarm level of all arrhythmia parameters in " "

4．Following is the dialogue box which appears when users click『 』area on the lower right of the
window to make sure what color is needed.

40
 Graph5.13-2 Dialogue box for choosing alarm background color

5．Users can set pressure unit in " "

6．Users can set temperature unit in " "

7．The change could be effective only when click " " button after setting. If not, the setting
will be ineffective next time.

8．All setting will turn back to manufacture's setting when click " " button.

Accessories Setting Interface and Operation

Click " " button on top of system setting to enter the interface:

41
 Graph 5.13-3 Accessories setting interface

Accessories Setting Instructions

1．The above options can not be set in present version and part functions can be used in advanced version.
2 ． IP, Subnet mask and gateway, which is used to correct or set internet IP when connecting, can be

acquired or set in " " in present version

3． All setting will turn back to manufacture's setting when click " " button. Internet IP
shows as follows in present version:

Graph 5.13-4 Internet IP set by manufacture

4．The change could be effective only when click " " button after setting.

42
Maintain Setup Interface and Operation

Click " " button on top of system setting to enter the interface:

Graph 5.13-5 Maintenance setting interface

Maintain Setup Instructions

1． System will show "Identity Confirmation" interface automatically before entering maintenance setting
window as the following graph. Input the password. Click "OK" if it is right, or "Cancel" if wrong, then
the maintenance setting window will not be able to use.(initial password:123456)

Graph 5.13-6 Identity Confirmation interface

2．System log checking can not be used in present version.

43
3．Users can set " " and input the target IP address in IP column

Users can choose ", so that it can be logged off only with password.

Users can choose " ", so that keyboard will be locked and part keys are forbidden to use.

4．Users can click " " button to do the modification.

5．Users can click " " button to change present systemic time.

6．Users can choose language logo in " " to change language

atmosphere on system interface.
7．Users can input hospital name & section office name in the window for changing hospital information

after click " "

8．Setting in this part (except " ") will be effective after clicking " " button; other
setting will be changed successfully after setting.

！Attention ！
Avoid intended/unintended false manipulation in order to ensure system's normal operation.
Chaning password termly is adviced.

！Attention！
Please contact the maintenance for all-purpose one when password is forgotten and reset a new one
asap.

Notice
It will affect stored system data if time is adjusted forward, so it is forbidden to set time ahead of
present time. Therefore, changing the system time requests much caution.

5 .14 Help Operation Instructions

Click the link going to be checked with left key of the mouse to replace the website with the corresponding
oneclicked.
Click the blank of the assisting website with right key of the mouse; the menu, which is different due to
different installed software but all including "Backwards" & "Forwards", will appear. Choose "Backfords"
for page up, "Forwards" for page down.
Or, when scanning website, click the top right button of the interface

44
 or

or
in order to carry out the function of "Backwards" and "Forwards" for website scanning as foregoing menu.
Attention:
1、 The menu excludes backfords and forwards options when click pictures with right key. The right
operation menu will come out only when click the blank website.

2、 When assisting website is available, or and or can only operate the assisting
website. The button can be effective for observing beds when quit the scanning operatiin or switch into
another interface.

5 .15 Printing Function Introduction

The equipped laser printer is seperate from host system. It has seperate power supply and connects to host
system via interface. For detailed informtion, please refer to Performance Indices

This system brings out several kinds of printings as follows:

 Freezing waveform printing
 Trend picture printing
 Trend tabulation printing
 Alarm graph printing
 Alarm tabulation printing
 24-hpur holographic waveform reviewing printing

5 .16 Alarm Management

General Introduction

This system has two kinds of alarms: physiological information alarm and technical alarm
■ Physiological information alarm includes parameter alarm, ST alarm and arrhythmiaalarm
Physiological information alarm reminds doctor via visual and aural suggesting idea which meets
international standard. Visual aspect mainly includes lightening and glitter of color light; aural aspect
mainly includes suggestive sounds in different level.
Physiogical alarm actualizes via "alarm limit", which defines certain physiogical parameter is within
normal range. When parameter is beyond upper limit or lower limit of this range , the alarm will be
triggered.
！Notice！
Parameter alarm limit is from bedside through network; this system cannot revise it.
■ Technical alarm
Technical alarm mainly reflects fault reference of facility or hardware and remides doctor via two means of
vision and hearing.

45
Alarm Levels

Alarm level reflects the severity degree of alarm. There are three level:
Alarm level 1――― critical and highest-level alarm, also named first-degree alarm
Alarm level 2――― severe alarm, medium alarm, also named second-degree alarm
Alarm level 3――― common alarm, the lowest-level alarm, third-degree alarm
The alarm limit of parameters is transferred from bedside through network; it can't be revised.
This system judges the existent alarm by alarm information showing different background color through
single & multiple bed observation or by the changes of indicator lights of 64-bed situation under main
interface:
Red light on--highest-level alarm
Orange light on--medium-level alarm
Yellow light on--lowest-level alarm

Alarm Mute

Alarm mute means system will prompt by vision but sound when there is alarm.
Time limit of alarm mute can be set as 3 minutes, 10 minutes and permanence.
When 3 minutes or 10 minutes is set, the system will turn to non-mute alarm automaticly when time
reaches the setting; and it will be in alarm mute excepting users' intervention when "Permanence" is set
except users' intervention.
Users can unchain alarm mute at any time when mute is set.
Please refer to "Setup instructions" for time limit set of alarm mute
Inuring and unchaining of alarm mute are via icons in main interface. Please refer to "Main monitoring
interface--Controlling icons"

Alarm Hang

Alarm Hang means the system doesn't judge alarm in a period of time, ignoring psysiological information
alarm.
persisting time of alarm hang can be set as 2 minutes, 3 minutes, 5 minutes.
System will turn back to the former condition when time for alarm hang reaches the setting.
Users can unchain alarm hang at any time when it is set..
Please refer to "Setup instructions" for time limit set of alarm mute.
Inuring and unchaining of alarm mute are via icons in main interface. Please refer to "Main monitoring
interface--Controlling icons"

Alarm Reference and Response

Alarm informationcan be prompted by visual and aural methods. This system supplies many means to
suggest users about the alarm:
■ Grounding Change

46
When psysiological information alarm occurs, system will prompt by updating the grounding in patient
section of corresponding bedside.
persisting time of grounding change can be set as 1 minute, 3 minutes or 6 hours. Please refer to "Setup
instructions" for detail.
Users can set specific updated grounding color which can also be found in Setup Instruction.

Graph 5.16 Alarm background updating interface

■ State Indicator Light
Red light on--highest-level alarm
Orange light on--medium-level alarm
Yellow light on--lowest-level alarm
■ Alarm Information
Alarm information displays on top of patient section. It lists the alarm limit. eg, "HR > 70" shows the
alarm occurs because heart rate exceeds upper limit 70.
■ Parameter Flicker
The corresponding parameters will flicker or red circle will occur before the parameters in single &
multiple bed observation windows when psysiological alarm occurs.
■ Alarm Sound Reference
The system will remind users of the alarm when alarm mute is not effective.
Alarm sound features:
Highest-level alarm: 2 times of "DO-DO-DO -- DO-DO"/ each 5 seconds
Medium-level alarm: 1 time of "DO-DO-DO -- DO-DO"/ each 5 seconds
Lowest-level alarm: 1 time of "DO"/ each 5 seconds

Alarm Volume and Adjustment

Users can click on right top of the procedureto adjust the volume.
！Notice ！
The system alarms by choosing the highest alarm level when different bedsides alarm or different
parameters of one bedside alarm, accoring to corresponding alarm volume and tune.

47
5 .17 Central Monitor System Conglomerate (Interior Crunode Data

Transmission)

General Introduction

One central system can receive patient data information from not only the bedside but also another central
system.
Central monitor system can receive patient data information from bedside. At the same time, it can
transmit the information to other central systems completely or partially, which enhances real-time
observation and management in different places but not in one computer. As shown below:

Graph 5.17 Interior Crunode transfer

Instructions to interior transmission

Note : please refer to maintenance setting in monitor setting.

1．Enter "Maintain setup" in "System Setup" and input password. Function interface transferred will show
as follows:

2．Pitch on " Host Destination " and input target IP on the right IP address column when transmitting is

needed. Tick off 『 』if not needed, and here the column does not allowed to input any IP.

48
3．Remember to click " " button after setting which will be effective when central monitor
system is restarted.

49
6 Whole Set of Complete Accessories

CD software: 1
USB softdog: 1
PC mainframe: 1
Display: 1 or 2, optional
Printer: 1, optional

50
7 System Network Configuration

A monitoring network system can be made up of bedside monitor the ( such as plug-in monitor, portable
monitoring device. Multi-Parameter Monitor) and this system which can be aslo extended to connect
defibrillator monitor. connecting the hospital network that connects to the Internet and other medical
information system and the formation of large-scale networks. Monitoring network system using client /
server (/) structure, Client for bedside monitoring equipment; Server refers to receive bedside monitoring
devices, data devices, in-system. Monitoring System was carefully observed in the physical layer using
RJ45 and linked by five kinds of non-shielded cable way . Data linking layer uses IEEE 802.3 Ethernet
standard, the network layer and transport layer use TCP/IP protocol.

Monitor netework system which can be connected by 64 units patient monitor works under transmission
speed of 10M or 100M . Followed is illustration of monitoring net:

51
8 Appendix

8 .1 Waveform and Parameter Monitored by this System

Monitored waveform:

Color
Name: Description:
RGB symbolize Red, Green and Blue
ECG1 RGB(0,255,0)
ECG2 RGB(0,255,0)
ECG3 RGB(0,255,0)
RESP RGB(0,255,255)
ART, #ART RGB(255,0,0) 0-300
PA, #PA RGB(255,0,0) -6 – 300
CVP, #CVP RGB(255,0,0) -10 – 50
RAP #RAP RGB(255,0,0) -10 – 50
LAP #LAP RGB(255,0,0) -10 – 50
ICP #ICP RGB(255,0,0) -10 – 50
AUX1,#AUX1 RGB(255,0,0) -10 - 300
AUX2,#AUX2 RGB(255,0,0) -10 - 300
HOCUS RGB(255,128,0)
CO2 RGB(255,255,0)
SPO2 RGB(255,255,0)
Waveform of restore factory settings: ECG1, ECG2, SPO2, RESP.

Monitored parameter:

Parameter name Color: Description:

RGB symbolize Red, Green and Blue
HR RGB(0,255,0) Effective: 11-300
Ineffective: 10
ST RGB(0,255,0) Effective –2.0 – 2.0
Ineffective: -10
SpO2 RGB(255,255,255) Effective 1 – 100
Ineffective: 0
PR RGB(255,255,0) Effective 11-300
Ineffective: 10
IBP RGB(255,0,0) Effective –9 – 300
Ineffective: –10

52
NIBP RGB(255,255,255) Effective 1- 300
Ineffective: 0
TEMP RGB(255,255,255) Effective 0 – 50.0
Ineffective: -100
CO2 RGB(255,255,0) Effective 1-100
Ineffective:: 0
AWRR RGB(255,255,0) Effective 1-255
Ineffective: 0
PVCs RGB(255,255,0) Effective 1-255
Ineffective: 0
RR RGB(0,255,255) Effective 11-300
Ineffective: 10
CO RGB(255,255,255) Effective -50 - 50
HOCUS RGB(255,128,0) Effective 0 -270
The method of selecting parameter setting by factory is parameter group 1 ( Followed list)

Group Parameter Definition:

parameter group: Included parameter

1 HR, ST, PVCs, SPO2, PR, RR, NIBP

2 HR, SPO2, NIBP, TEMP, ST
3 HR, IBP1, IBP2, IBP3, IBP4, CO
4 HR, CO2
5 HR, HOCUS

Unit Conversion Formula:

unit 1 unit 2 Conversion formula :

mmHg Kpa Kpa = mmHg / 7.5 (Accurate to0.1)

Kpa MmHg mmHg = Kpa * 7.5(Accurate to0.1)
C F F = C * 9/5 + 32(Accurate to0.1)
F C C = ( F-32 ) * 5 / 9(Accurate to 0.1)

8 .2 TCP/IP Transfer Control Protocol

TCP is a network protocol that is widely used in the Internet, control systems, correct order according to
reliable transmission of data from the data source to a destination network protocol to the data receiver.
Description : IP addresses for each network node logic address. Central monitoring system for the use of IP
addresses : 202.114.4.111 - 202.114.4.188 (among some unused) more detailed Please refer to the contents

53
of the agreements relating to the TCP network books.

8 .3 Dual-screen Display Configuration

In a dual-monitor PC connecting the various displays require special hardware and software support. If you
connect the chip to support dual monitors, you can connect two monitors. the same time, some of the
Windows system installed. But before you must make two monitors connected to the correct PC firstly;
then your system can be installed. nVidia chip in the example below shows the system set up steps :
1. Attributes dialog box to enter shows.
starting windows, regional gaps in the system desktop mouse click Right Key, while the following menu.
click "attribute" into the dialog box shows attributes.

2. Choose "set"attributes page from attributes dialoge box in the systems, Followed is the setup page:

54
3. Click "advanced"button from setup page, then shows the advanced setup dialog box as follow:

then you can set up by graphic card and driver of your own computer.

55
2.782.051.01ESS/1.0
1.4.15.05.006
2021.12